Active NPI
Hands on Health Inc.
- Primary Care Clinic/Center
- Fayette, IA
National Provider Identifier
1508052903
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- A5682
- Legal business name
- HANDS ON HEALTH INC.
- Practice address
- 139 South Main Street
Fayette, IA 52142-9703 - Phone
- (563) 425-3341
- Fax
- (563) 425-3342
- NPI assigned
- Sep 19, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Kirk Alan Abernathy Sr., D.C.
- Title
- Owner/Chiropractor
- Phone
- (563) 425-3341
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | A5682 | IA | Primary |
Addresses
Primary practice location
139 South Main Street
Fayette, IA 52142-9703
Mailing address
139 South Main Street
PO Box 578
Fayette, IA 52142-9703
Phone (563) 425-3341
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0104638 | Medicaid | IA |
Other names 1
- Fayette Chiropractic Clinic
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040831001496 | IA | Part B Supplier - Clinic/Group Practice | 3779558804 |
Receives reassigned benefits from 1 practitioner Practice locations: Fayette, IA |
National Provider Directory
National Provider DirectoryLocations
612 Highway 150 S
West Union, IA 52175
Phone (563) 422-5278
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190160000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1516233600000",
"number": "1508052903",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "139 SOUTH MAIN STREET",
"address_2": "PO BOX 578",
"city": "FAYETTE",
"state": "IA",
"postal_code": "521429703",
"telephone_number": "563-425-3341",
"fax_number": "563-425-3342"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "139 SOUTH MAIN STREET",
"city": "FAYETTE",
"state": "IA",
"postal_code": "521429703",
"telephone_number": "563-425-3341",
"fax_number": "563-425-3342"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HANDS ON HEALTH INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-09-19",
"last_updated": "2018-01-18",
"status": "A",
"authorized_official_last_name": "ABERNATHY",
"authorized_official_first_name": "KIRK",
"authorized_official_middle_name": "ALAN",
"authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
"authorized_official_telephone_number": "563-425-3341",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Sr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "IA",
"license": "A5682",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0104638",
"state": "IA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Fayette Chiropractic Clinic",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Fayette, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.