Active NPI
David Alan Haynes Jr., DPT
- Physical Therapist
- Cross Lanes, WV
National Provider Identifier
1902221310
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT2942
- Practice address
- 314 Goff Mountain Rd. (Ste 13)
Ste 13
Cross Lanes, WV 25313 - Phone
- (304) 776-5031
- Fax
- (304) 204-6332
- NPI assigned
- Feb 20, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT2942 | WV | Primary |
Addresses
Primary practice location
314 Goff Mountain Rd. (Ste 13)
Ste 13
Cross Lanes, WV 25313
Mailing address
314 Goff Mountain Rd. (Ste 13)
Ste 13
Cross Lanes, WV 25313
Phone (304) 776-5031
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3810027186 | Medicaid | WV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
314 Goff Mountain Rd
Suite 13
Cross Lanes, WV 25313-6600
Phone (304) 776-5031
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT2942 | WV | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medcare Therapy Center | Physical Therapist | Current | Accepting new patients |
| Generations R.C., Inc | Physical Therapist | Past | Accepting new patients |
Locations
314 Goff Mountain Rd
Ste 13
Cross Lanes, WV 25313
Phone (304) 776-5031
Organizations & group practices 2
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.
-
- Physical Therapist
- Cross Lanes, WV
- NPI 1336243880
-
dba Generations PT of Barboursville
- Physical Therapist
- Barboursville, WV
- NPI 1609930379
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1392854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563840000000",
"number": "1902221310",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "314 GOFF MOUNTAIN RD. (STE 13)",
"address_2": "STE 13",
"city": "CROSS LANES",
"state": "WV",
"postal_code": "25313",
"telephone_number": "304-776-5031",
"fax_number": "304-204-6332"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "314 GOFF MOUNTAIN RD. (STE 13)",
"address_2": "STE 13",
"city": "CROSS LANES",
"state": "WV",
"postal_code": "25313",
"telephone_number": "304-776-5031",
"fax_number": "304-204-6332"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAYNES",
"first_name": "DAVID",
"middle_name": "ALAN",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-02-20",
"last_updated": "2019-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WV",
"license": "PT2942",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3810027186",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cross Lanes, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2019; 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.