Derek Alan Falkenstein, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1189 Issued in WV

Practice address

1509 Fairmont Avenue
Fairmont, WV 26554-1346

Phone

(304) 363-0050

Fax

(304) 363-0048

NPI assigned

May 6, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WV

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

West Virginia University School of Medicine, 1993

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

91.25 of 100Reported as individual

Quality

82.51

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Country Roads Physical Therapy and Rehabilitation

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

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

{
    "created_epoch": "1146873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215648000000",
    "number": "1326097544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1509 FAIRMONT AVENUE",
            "city": "FAIRMONT",
            "state": "WV",
            "postal_code": "26554",
            "telephone_number": "304-363-0050",
            "fax_number": "304-363-0048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1509 FAIRMONT AVENUE",
            "city": "FAIRMONT",
            "state": "WV",
            "postal_code": "265541346",
            "telephone_number": "304-363-0050",
            "fax_number": "304-363-0048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FALKENSTEIN",
        "first_name": "DEREK",
        "middle_name": "ALAN",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-06",
        "last_updated": "2008-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WV",
            "license": "1189",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810005585",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Fairmont Physicians, Inc.
• Fairmont Physicians, Inc.
• Fairmont Regional Cancer Center
• Fairmont Rehabilitation and Healthcare Center LLC
• Fairmont State University
• Family Care Associates, PLLC
• Family First Chiropractic
• Family Service of Marion & Harrison Counties Inc
• Family Service of Marion & Harrison Counties Inc
• Family Service of Marion & Harrison Counties Inc

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2008; 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.