Jordan Russell Hairston, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT020276 Issued in OH

Practice address

711 S 3Rd St
Ironton, OH 45638-1854

Phone

(740) 534-1156

Fax

(606) 324-0616

NPI assigned

Feb 13, 2023

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

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ironton Physical Therapy IncGroup PAC ID 0749188407, 11 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

89.8 of 100Reported as group

Quality

94.08

Improvement activities

40

Cost

73.88

Medicare enrollment (NPD)

Enrolled

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.

• Ironton Physical Therapy Inc

  dba Tri State Rehab Services

  • Physical Therapist
  • Ironton, OH
  • NPI 1649399643
  Medicare reassignment Care Compare group NPD
• Ironton Physical Therapy Inc

  dba Tri State Rehab Services

  • Physical Therapist
  • Portsmouth, OH
  • NPI 1720528201
  NPD
• Ironton Physical Therapy Inc

  dba Tri State Rehab Services

  • Physical Therapist
  • Wheelersburg, OH
  • NPI 1699005306
  NPD (past)
• Ironton Physical Therapy Inc

  dba Tri State Rehab Services

  • Physical Therapist
  • Huntington, WV
  • NPI 1013036011
  NPD (past)

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

{
    "created_epoch": "1676246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676246400000",
    "number": "1992402754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1212 BATH AVE STE 350",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411013685",
            "telephone_number": "606-324-0540",
            "fax_number": "606-324-0616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 S 3RD ST",
            "city": "IRONTON",
            "state": "OH",
            "postal_code": "456381854",
            "telephone_number": "740-534-1156",
            "fax_number": "606-324-0616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAIRSTON",
        "first_name": "JORDAN",
        "middle_name": "RUSSELL",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-02-13",
        "last_updated": "2023-02-13",
        "certification_date": "2023-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT020276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raechelle Haddox, CDCA, PRS
• Betsy Ellen Hager
• Lillian Hager
• Carmellia Marline Hagley
• Kristy Haines
• Sharon Kay Hairston, LPN
• Tonia Hall-Wade, PHARMD
• Angel Carlene Hall
• Candice Hall
• Isaac Isaiah Hall, CDCA

• Physical Therapist in Ironton, OH
• Providers in Ironton, OH by specialty
• Physical Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2023; 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.