Physical Therapist
FAIRHAVEN OPCO, LLC
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1194180489 · enumerated 2015-12-31 · record updated 2015-12-31. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: Mr. ISAAC DOLE, Manager · (312) 724-8950
Other names: MADISON PARK HEALTHCARE
Addresses and phones
- Mailing address 121 S WATER AVE, GALLATIN, TN, 37066-2902 (423) 290-2837 Fax (888) 278-3162 Google Maps Apple Maps OpenStreetMap
- Practice location 700 MADISON AVE, HUNTINGTON, WV, 25704-2630 (304) 552-0032 Fax (304) 522-1481 Google Maps Apple Maps OpenStreetMap
Specialties
- Occupational Therapist 225X00000X
- Physical Therapist 225100000X · Primary
In this directory
Locations and evidence
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Practice location
HUNTINGTON, WV, 257042630
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.