Andrew Hazelwood, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT003549 Issued in WV

Practice address

3942 Davis Stuart Rd
Ronceverte, WV 24970-0260

Phone

(304) 647-3987

NPI assigned

Jan 3, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WV

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

West Virginia University School of Medicine, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Greenbrier Valley Physical Therapy LLCGroup PAC ID 3870499957, 57 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Greenbrier Valley Physical Therapy, LLC

  • Physical Therapist
  • Lewisburg, WV
  • NPI 1619260353
  Medicare reassignment Care Compare group NPD
• Greenbrier Valley Physical Therapy LLC

  • Specialist
  • Princeton, WV
  • NPI 1447932744
  NPD
• Greenbrier Valley Physical Therapy, LLC

  • Specialist
  • Ronceverte, WV
  • NPI 1407946932
  NPD

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

{
    "created_epoch": "1704240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704240000000",
    "number": "1790555498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 CROWFIELD CIR",
            "city": "LEWISBURG",
            "state": "WV",
            "postal_code": "249012262",
            "telephone_number": "304-216-8755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3942 DAVIS STUART RD",
            "city": "RONCEVERTE",
            "state": "WV",
            "postal_code": "249700260",
            "telephone_number": "304-647-3987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAZELWOOD",
        "first_name": "ANDREW",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-01-03",
        "last_updated": "2024-01-03",
        "certification_date": "2024-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305209656",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WV",
            "license": "PT003549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jotina Hamrick
• Jonathan E Hanna, RN
• Bill H Harris, MD
• Debbie Harris
• Melinda Marie Harris
• Tanya Hazelwood, LMT
• Healthcare 360 PLLC
• Kelsey D Henry, PHARMD
• Summer Marie Hepler, APRN-CNM
• Kara L. Hersman, SLP

• Physical Therapist in Ronceverte, WV
• Providers in Ronceverte, 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 Jan 3, 2024; 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.