Stephanie Lynn Haynes, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT 18903 Issued in FL

Practice address

1482 3Rd St S
Jacksonville Beach, FL 32250-6310

Phone

(904) 246-3232

Fax

(904) 246-3626

NPI assigned

Mar 12, 2010

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1268352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268352000000",
    "number": "1003139478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 SEAGRAPE DR",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322502530",
            "telephone_number": "904-237-7198",
            "fax_number": "904-241-8499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1482 3RD ST S",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322506310",
            "telephone_number": "904-246-3232",
            "fax_number": "904-246-3626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYNES",
        "first_name": "STEPHANIE",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-12",
        "last_updated": "2010-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT 18903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brooke Harris, OTD, OTR/L
• Michelle Harrison, M.A.
• Rick Kenneth Harrison, DMD
• Suvana Hashim, DDS
• Timothy R Hastings, MD
• Kimberly Ann Hazouri-Yeary, LMHC
• Healthcore Wellness PA (Ocean View Health)
• Healthwave Inc
• Hector C Pagan MD PA (Advanced Medical Associates)
• Geoffrey Heekin, PA-C

• Physical Therapist in Jacksonville Beach, FL
• Providers in Jacksonville Beach, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.