Active NPI
Ian Honaker
- Physical Therapist
- Beckley, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 202 Guadalcanal Ave
Beckley, WV 25801-8060 - Phone
- (304) 228-7620
- NPI assigned
- Apr 15, 2016
- Last updated
- Nov 12, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 21030312600 | WV | |
| Physical Therapist | 225100000X | NU | Primary |
Addresses
Primary practice location
202 Guadalcanal Ave
Beckley, WV 25801-8060
Mailing address
202 Guadalcanal Ave
Beckley, WV 25801-8060
Phone (304) 228-7620
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 83.3 of 100
- Quality
- 71.18
- Promoting interoperability
- 92
- Improvement activities
- 40
- Cost
- 79.82
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21030312600 | WV | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Greenbrier Valley Physical Therapy LLC | Current | Accepting new patients | |
| Greenbrier Valley Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| Greenbrier Valley Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
Locations
155 Reston Pl
Gassaway, WV 26624
Phone (304) 228-7620
3942 Davis Stuart Rd
Ste 3
Ronceverte, WV 24970
Phone (304) 647-3987
Organizations & group practices 3
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.
-
dba Bodyworks Physical Therapy
- Specialist
- Princeton, WV
- NPI 1447932744
-
dba Gassaway Physical Therapy
- Physical Therapist
- Gassaway, WV
- NPI 1609311265
-
dba West Virginia Physical Therapy & Wellness Center
- Physical Therapist
- Lewisburg, WV
- NPI 1619260353
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1460678400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636675200000",
"number": "1336593359",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "202 GUADALCANAL AVE",
"city": "BECKLEY",
"state": "WV",
"postal_code": "258018060",
"telephone_number": "304-228-7620"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "202 GUADALCANAL AVE",
"city": "BECKLEY",
"state": "WV",
"postal_code": "258018060",
"telephone_number": "304-228-7620"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HONAKER",
"first_name": "IAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-04-15",
"last_updated": "2021-11-12",
"certification_date": "2021-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "WV",
"license": "21030312600",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Beckley, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.