Individual provider Active NPI

Dustin Ryan Starsick, DPT

  • Physical Therapist
  • Charleston, WV
National Provider Identifier
1588117311
Registry record updated Jul 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
003682 Issued in WV
Practice address
1015 Oakhurst Dr
Charleston, WV 25314-2049
Phone
(304) 845-8101
Fax
(304) 345-7386
NPI assigned
Jul 28, 2016
Last updated
Jul 28, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 28, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 003682 WV Primary

Addresses

Primary practice location

1015 Oakhurst Dr
Charleston, WV 25314-2049

Mailing address

1015 Oakhurst Dr
Charleston, WV 25314-2049
Phone (304) 845-8101

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
003682WVMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Therapy Services, Inc. Physical Therapist PastSince Sep 17, 2023 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1469664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469664000000",
    "number": "1588117311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 OAKHURST DR",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253142049",
            "telephone_number": "304-845-8101",
            "fax_number": "304-345-7386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 OAKHURST DR",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253142049",
            "telephone_number": "304-845-8101",
            "fax_number": "304-345-7386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STARSICK",
        "first_name": "DUSTIN",
        "middle_name": "RYAN",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-07-28",
        "last_updated": "2016-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WV",
            "license": "003682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.