Individual provider Active NPI

Michael Kyle Barkley, DPT

  • Physical Therapist
  • Fairmont, WV
National Provider Identifier
1861698680
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
002195 Issued in WV
Practice address
1499 Locust Ave
Fairmont, WV 26554
Phone
(304) 363-0050
NPI assigned
Jun 27, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 002195 WV Primary

Addresses

Primary practice location

1499 Locust Ave
Fairmont, WV 26554

Mailing address

1499 Locust Ave
Fairmont, WV 26554-1346
Phone (304) 363-0050

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080606000507 WV Practitioner - Physical Therapist in Private Practice 6901976679 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Country Roads Physical Therapy and RehabilitationGroup PAC ID 5597835603, 28 clinicians

Practice addresses (Care Compare)

120 Buckhannon XRDS
Suite 112
Buckhannon, WV 26201-8477
Phone (304) 472-8510

1509 Fairmont Ave
Fairmont, WV 26554-2135
Phone (304) 363-0050

25 Barbara St
Suite 101
Grafton, WV 26354-8116
Phone (304) 903-8082

456 Market Place Mall
Suite a
Weston, WV 26452-6964
Phone (304) 997-8113

Merit-based Incentive Payment System (MIPS)

Final score
92.89 of 100Reported as individual
Quality
85.79
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
002195WVMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Country Roads Physical Therapy and Rehabilitation Physical Therapist CurrentSince Jan 1, 2008 Accepting new patients

Locations

120 Buckhannon Xrds
Ste 112
Buckhannon, WV 26201
Phone (304) 472-8510

1499 Locust Ave
Fairmont, WV 26554
Phone (304) 363-0050

1031 Morgantown Ave
Fairmont, WV 26554
Phone (304) 333-8840

1509 Fairmont Ave
Fairmont, WV 26554
Phone (304) 363-0050

25 Barbara St
#101
Grafton, WV 26354
Phone (304) 903-8082

200 Fort Pierpont Dr
Ste 107
Morgantown, WV 26508
Phone (304) 322-4232

456 Market Place Mall
Ste A
Weston, WV 26452
Phone (304) 269-0100

8 Elm Grove Crossing Mall
Ste C
Wheeling, WV 26003
Phone (304) 905-8140

2600 Middletown Cmns
Ste 260
White Hall, WV 26554
Phone (304) 816-3169

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1182902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861698680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1499 LOCUST AVE",
            "city": "FAIRMONT",
            "state": "WV",
            "postal_code": "265541346",
            "telephone_number": "304-363-0050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1499 LOCUST AVE",
            "city": "FAIRMONT",
            "state": "WV",
            "postal_code": "26554",
            "telephone_number": "304-363-0050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARKLEY",
        "first_name": "MICHAEL",
        "middle_name": "KYLE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WV",
            "license": "002195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairmont, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.