Individual provider Active NPI

Juliet Haines, MOT

  • Occupational Therapist
  • Bridgeport, WV
National Provider Identifier
1679331409
Registry record updated Jan 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
2454 Issued in WV
Practice address
37 Grande Meadows Dr Ste 102
Bridgeport, WV 26330-9035
Phone
(304) 592-2009
Fax
(304) 599-7800
NPI assigned
Mar 7, 2024
Last updated
Jan 8, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 2454 WV Primary

Addresses

Primary practice location

37 Grande Meadows Dr Ste 102
Bridgeport, WV 26330-9035

Mailing address

6000 Hampton Ctr Ste B
Morgantown, WV 26505-1748
Phone (304) 599-1500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240803000642 WV Practitioner - Occupational Therapist in Private Practice 5395282636 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
West Virginia University School of Medicine, 2023
Medicare assignment
May accept Medicare assignment
Group practices
Therapy Services, LLCGroup PAC ID 1052318508, 22 clinicians

Practice addresses (Care Compare)

37 Grande Meadows Dr
Suite 102
Bridgeport, WV 26330-9035
Phone (304) 592-2009

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy Services, LLC Occupational Therapist CurrentSince May 19, 2024 Accepting new patients

Locations

37 Grande Meadows Dr
Ste 102
Bridgeport, WV 26330
Phone (304) 592-2009

6000 Hampton Ctr
Ste B
Morgantown, WV 26505
Phone (304) 599-1500

150 John St
Ste B
Weston, WV 26452
Phone (304) 517-1560

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": "1709769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736294400000",
    "number": "1679331409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6000 HAMPTON CTR STE B",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265051748",
            "telephone_number": "304-599-1500",
            "fax_number": "304-599-7800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 GRANDE MEADOWS DR STE 102",
            "city": "BRIDGEPORT",
            "state": "WV",
            "postal_code": "263309035",
            "telephone_number": "304-592-2009",
            "fax_number": "304-599-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAINES",
        "first_name": "JULIET",
        "credential": "MOT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-07",
        "last_updated": "2025-01-08",
        "certification_date": "2025-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WV",
            "license": "2454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgeport, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2025; 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.