Douglas Kevin Hibbs, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

868 Issued in WV

Practice address

364 Riverview Ave
Logan, WV 25601-3428

Phone

(304) 752-4443

Fax

(304) 752-8802

NPI assigned

Jun 16, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WV

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Logan Physical Therapy PC

  • Physical Therapy Clinic/Center
  • Logan, UT
  • NPI 1881738904
  NPD (past)

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1679517767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "364 RIVERVIEW AVE",
            "city": "LOGAN",
            "state": "WV",
            "postal_code": "256013428",
            "telephone_number": "304-752-4443",
            "fax_number": "304-752-8802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "364 RIVERVIEW AVE",
            "city": "LOGAN",
            "state": "WV",
            "postal_code": "256013428",
            "telephone_number": "304-752-4443",
            "fax_number": "304-752-8802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIBBS",
        "first_name": "DOUGLAS",
        "middle_name": "KEVIN",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-16",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WV",
            "license": "868",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0156387000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Healthy Habits Wellness Center Lab
• Healthy Habits Wellness Ctr, Inc
• Paula Henry-Woody
• Katrina Hensley
• Lydia Hensley
• Hill Chiropractic Center, Inc
• Hobert L. Mack, D.D.S., Inc
• Hometown Health Investments Inc
• Grace Anne Honaker
• HTRX LLC (Hometown Rx Pharmacy)

• Physical Therapist in Logan, WV
• Providers in Logan, WV by specialty
• Physical Therapist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.