MR. RUSTY LEE MUSICK II
NPI 1265300032
Peer Specialist in Fairdale, WV

Active since October 24, 2025
2121 BOLT RD, FAIRDALE, WV 25839(304) 573-3134 Get Directions Write a Review

NPPES record last updated: October 24, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Rusty Lee Musick Ii NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. RUSTY LEE MUSICK II (NPI 1265300032) is an individual peer specialist in Fairdale, West Virginia, licensed in West Virginia (24-948) and active in the NPI registry since October 2025.

NPPES Registry Identity

NPI1265300032
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameMR. RUSTY LEE MUSICK II
Location Address2121 BOLT RDFairdale, WV 25839-9610
Mailing Address2121 Bolt RdFairdale, WV 25839-9610 · (304) 573-3134
Sole ProprietorNo
Enumeration DateOctober 24, 2025
NPPES CertifiedOctober 24, 2025
NPI 1265300032 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
License Licensed in WV · 24-948
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
2121 BOLT RD, Fairdale, WV 25839

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rusty Musick's NPI number?

The NPI number for Rusty Musick is 1265300032. It was assigned to this individual provider in the NPPES registry on October 24, 2025.

Where is Rusty Musick located?

Rusty Musick practices at 2121 Bolt Rd, Fairdale, WV 25839. The listed phone number is (304) 573-3134.

What is Rusty Musick's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Rusty Musick was last updated on October 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.