JOHN B OXLEY DPT
NPI 1609893031
Physical Therapist in Huntington, WV

NPI Status: Active since July 15, 2006

Contact Information

2240 5TH AVE
HUNTINGTON, WV
ZIP 25703
Phone: (304) 525-4445
Fax: (304) 529-7449

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  • Individual
  • Male
  • Years of Experience 20
  • Physical Therapist
  • Accepts Insurance
  • Accepts Medicare Approved Payment

About JOHN OXLEY

This page provides the complete NPI Profile along with additional information for John Oxley, a provider established in Huntington, West Virginia with a medical specialization in Physical Therapist and more than 20 years of experience. The healthcare provider is registered in the NPI registry with number 1609893031 assigned on July 2006. The practitioner's primary taxonomy code is 225100000X with license number 2565 (WV). The provider is registered as an individual and his NPI record was last updated 6 years ago.

NPI
1609893031
Provider Name
JOHN B OXLEY DPT
Gender
Male
Entity Type
Individual
Location Address
2240 5TH AVE HUNTINGTON, WV 25703
Location Phone
(304) 525-4445
Location Fax
(304) 529-7449
Mailing Address
2240 5TH AVE HUNTINGTON, WV 25703
Mailing Phone
(304) 525-4445
Mailing Fax
(304) 529-7449
Medical School Name
OTHER
Graduation Year
2006
Is Sole Proprietor?
No
Enumeration Date
07-15-2006
Last Update Date
06-03-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physical Therapist

Taxonomy Code
225100000X
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
License No.
2565
License State
WV
Taxonomy Description
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Bronze 7500 $25 Generic Drugs - HMO
  • Bronze 7500 $25 Generic Drugs + Adult Vision & Fitness - HMO
  • Diabetes Gold 3000 $0 Chronic Care Drugs & Services - HMO
  • Diabetes Gold 3000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
  • Diabetes Silver 5000 $0 Chronic Care Drugs & Services - HMO
  • Diabetes Silver 5000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
  • Gold 2000 $15 Generic Drugs - HMO
  • Gold 2000 $15 Generic Drugs + Adult Vision & Fitness - HMO
  • Healthy Heart Gold 3000 $0 Chronic Care Drugs & Services - HMO
  • Healthy Heart Gold 3000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
  • Molina Bronze Enhanced 3500 - HMO
  • Molina Bronze Enhanced 3500 Plus with Adult Dental and Vision - HMO
  • Molina Bronze Enhanced 3500 Plus with Adult Vision - HMO
  • Molina Bronze Saver 7000 - HMO
  • Molina Bronze Saver 7000 Plus with Adult Dental and Vision - HMO
  • Molina Bronze Saver 7000 Plus with Adult Vision - HMO
  • Molina Bronze Smart Heart Health - HMO
  • Molina Bronze Standard - HMO
  • Molina Gold Core 1640 - HMO
  • Molina Gold Core 1640 Plus with Adult Dental and Vision - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
3810005916MEDICAID (05)WV 
2674440MEDICAID (05)OH 
001881188OTHER (01)WVMOUNTAIN STATE BCBS
7180806OTHER (01)AETNA
P00347484OTHER (01)RR MEDICARE

Medicare Participation & PECOS Enrollment Status

John Oxley is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • PECOS PAC ID: 345253217

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20060718000182

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Evaluation for physical therapy, typically 20 minutes

An evaluation for physical therapy is a short, 20-minute assessment where your physical condition, mobility, and pain levels are examined. This helps in designing a personalized therapy plan to enhance your physical function and well-being.

This service was performed 82 times for 76 patients

Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes

This therapy helps retrain your brain, nerves, and muscles to work together. Through targeted exercises, your body learns to regain lost functions or improve current abilities. Each session lasts 15 minutes.

This service was performed 350 times for 44 patients

Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes

This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.

This service was performed 3,915 times for 173 patients

Therapy procedure using manual technique, each 15 minutes

This therapy involves using hands-on techniques to help improve your body's movement and function. These techniques may include stretching, resistance exercises, or gentle pressure. Each session lasts 15 minutes and aims to relieve pain, promote healing, and improve your overall health.

This service was performed 471 times for 80 patients

Physician Visit Costs



The typical physician office visit costs for Medicare beneficiaries in this area are: $20.87 for a new patient copayment and $16.71 for an established patient copayment.

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 25703 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $83.49
  • Minimum New Patient Price $53.2
  • Maximum New Patient Price $164.59
  • Average New Patient Copayment $20.87
  • Minimum New Patient Copayment $13.3
  • Maximum New Patient Copayment $41.14

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $66.84
  • Minimum Established Patient Price $16.47
  • Maximum Established Patient Price $133.29
  • Average Established Patient Copayment $16.71
  • Minimum Established Patient Copayment $4.11
  • Maximum Established Patient Copayment $33.32

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1609893031, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 69. The final step is to find the difference between that total and the next multiple of ten (70 - 69 = 1).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
6
Unchanged
Pos 3
0
Doubled → 0
Pos 4
9
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
9
Unchanged
Pos 7
3
Doubled → 6
Pos 8
0
Unchanged
Pos 9
3
Doubled → 6
Check
1
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 8 → 16 → 7 3 → 6 3 → 6

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 6 + 0 + 9 + 1 + 6 + 9 + 6 + 0 + 6 + 24 = 69

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 69 is 70. The difference is the calculated check digit.

70 - 69 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1609893031.

Other Providers at the Same Location


The following 18 providers are registered at the same or a nearby location.

Physical Therapist
2240 5TH AVE
HUNTINGTON, WV 25703
Physical Therapist
2240 5TH AVE
HUNTINGTON, WV 25703
Physical Therapist
2240 5TH AVE
HUNTINGTON, WV 25703
Physical Therapy Assistant
2240 5TH AVE
HUNTINGTON, WV 25703
Physical Therapy Assistant
2240 5TH AVE
HUNTINGTON, WV 25703
Physical Therapy Assistant
2240 5TH AVE
HUNTINGTON, WV 25703
Physical Therapy Assistant
2240 5TH AVE
HUNTINGTON, WV 25703
Physical Therapy Assistant
2240 5TH AVE
HUNTINGTON, WV 25703
Physical Therapy Assistant
2240 5TH AVE
HUNTINGTON, WV 25703
Physical Therapist
2240 5TH AVE
HUNTINGTON, WV 25703
Physical Therapist
2240 5TH AVE
HUNTINGTON, WV 25703
Physical Therapist
2240 5TH AVE
HUNTINGTON, WV 25703
Physical Therapist
2240 5TH AVE
HUNTINGTON, WV 25703
Physical Therapy Assistant
2240 5TH AVE
HUNTINGTON, WV 25703
Physical Therapy Assistant
2240 5TH AVE
HUNTINGTON, WV 25703
Physical Therapist
2240 5TH AVE
HUNTINGTON, WV 25703
Physical Therapy Assistant
2240 5TH AVE
HUNTINGTON, WV 25703
Massage Therapist
2240 5TH AVE
HUNTINGTON, WV 25703

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1609893031, enumerated as an "individual" on July 15, 2006.

The provider is located at 2240 5TH AVE HUNTINGTON, WV 25703 and the phone number is (304) 525-4445.

Physical Therapist with taxonomy code 225100000X.

The provider might be accepting Accepts: CareSource, Molina Healthcare, Medicare, Medicaid,. Please consult your insurance carrier or call the provider to verify.