Victor Hairston

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2306606294 Issued in VA

Practice address

935 Blankenship Rd Apt 8
Martinsville, VA 24112-2137

Phone

(910) 853-1992

NPI assigned

Apr 26, 2023

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1682467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682467200000",
    "number": "1821786047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "935 BLANKENSHIP RD APT 8",
            "city": "MARTINSVILLE",
            "state": "VA",
            "postal_code": "241122137",
            "telephone_number": "910-853-1992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "935 BLANKENSHIP RD APT 8",
            "city": "MARTINSVILLE",
            "state": "VA",
            "postal_code": "241122137",
            "telephone_number": "910-853-1992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAIRSTON",
        "first_name": "VICTOR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-04-26",
        "last_updated": "2023-04-26",
        "certification_date": "2023-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "VA",
            "license": "2306606294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mackenzie Lane Hairston
• Renata Levon Hairston, COTA/L
• Stephanie Hairston
• Tamarya Renee' Hairston
• True Dianna Hairston
• Eden Surbaugh Hale, LPTA
• Julia Lumsden Hall, LCSW
• Mary Hall, RD, CDN
• Hamdy Medical Center PC
• Hamdy Medical Center, PC

• Physical Therapy Assistant in Martinsville, VA
• Providers in Martinsville, VA by specialty
• Physical Therapy Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 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.