Fairhaven Opco, LLC
NPI 1194180489ActiveOrganization· Physical Therapist· Huntington, WV
Physical Therapist in Huntington, West Virginia, registered in NPPES in December 2015. The authorized official on file is Isaac S. Dole, Manager.
Overview
| NPI | 1194180489 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 31, 2015 |
| Last updated in NPPES | Dec 31, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | — |
| Occupational Therapist | 225X00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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