Individual provider Active NPI

Justin Chaffin, DPT

  • Physical Therapy Clinic/Center
  • Huntington, WV
National Provider Identifier
1659064228
Registry record updated May 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
003614 Issued in WV
Practice address
3135 16TH Street Rd Ste 22
Huntington, WV 25701-5247
Phone
(304) 523-2426
NPI assigned
May 31, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 31, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 003614 WV Primary

Addresses

Primary practice location

3135 16TH Street Rd Ste 22
Huntington, WV 25701-5247

Mailing address

3135 16TH Street Rd Ste 22
Huntington, WV 25701-5247
Phone (304) 523-2426

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
003614WVMDPhysical Therapy Clinic/Center

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitalist Medicine Physicians of West Virginia, PLLC Physical Therapy PastSince Jun 4, 2023 Accepting new patients
Amedisys West Virginia, L.L.C. PastSince Jun 4, 2023 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1685491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685491200000",
    "number": "1659064228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3135 16TH STREET RD STE 22",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257015247",
            "telephone_number": "304-523-2426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3135 16TH STREET RD STE 22",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257015247",
            "telephone_number": "304-523-2426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAFFIN",
        "first_name": "JUSTIN",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-05-31",
        "last_updated": "2023-05-31",
        "certification_date": "2023-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "WV",
            "license": "003614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2023; 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.