Ian Hayhurst

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

004411 Issued in WV

Practice address

1031 Morgantown Ave
Fairmont, WV 26554-4355

Phone

(304) 363-0050

NPI assigned

Jun 7, 2021

Last updated

Jun 7, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WV

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

West Virginia University School of Medicine, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Country Roads Physical Therapy and RehabilitationGroup PAC ID 5597835603, 28 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

91.07 of 100Reported as individual

Quality

82.13

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Country Roads Physical Therapy and Rehabilitation

  • Physical Therapist
  • Fairmont, WV
  • NPI 1831147297
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1623024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623024000000",
    "number": "1205403425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1031 MORGANTOWN AVE",
            "city": "FAIRMONT",
            "state": "WV",
            "postal_code": "265544355",
            "telephone_number": "304-363-0050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1031 MORGANTOWN AVE",
            "city": "FAIRMONT",
            "state": "WV",
            "postal_code": "265544355",
            "telephone_number": "304-363-0050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYHURST",
        "first_name": "IAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-07",
        "last_updated": "2021-06-07",
        "certification_date": "2021-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "WV",
            "license": "004411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicci Hawkins
• Victoria Hawkins
• Rebecca Hayes-Merrill, LPC ADC-S
• Ivy Hayes
• Willie Hayes
• Karri Hayhurst, BSN, RN, NCSN
• Ryan Michael Hayhurst, PHARMD
• Kelly Jo Hazuka, NP-C
• Healing Grove Psychological Services, LLC
• Desiree Lynn Heater

• Orthopedic Physical Therapist in Fairmont, WV
• Providers in Fairmont, WV by specialty
• Orthopedic Physical Therapist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.