Kimberly Wayne Haywood, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2712 Issued in SC

Practice address

9 Maple Tree CT
Suite a
Greenville, SC 29615-4070

Phone

(864) 286-8288

Fax

(864) 286-8289

NPI assigned

Dec 29, 2011

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": "1325116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325116800000",
    "number": "1033488507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 LAKE RIDGE DR",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296116642",
            "telephone_number": "864-979-8406",
            "fax_number": "864-286-8289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 MAPLE TREE CT",
            "address_2": "SUITE A",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296154070",
            "telephone_number": "864-286-8288",
            "fax_number": "864-286-8289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYWOOD",
        "first_name": "KIMBERLY",
        "middle_name": "WAYNE",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-29",
        "last_updated": "2011-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "SC",
            "license": "2712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Elizabeth Haynes, MD
• Erika Leigh Haynie, COTA
• Katherine M Haynie, DC
• Knox Livingston Haynsworth IV, LPC-A
• Rueben Jerome Hays Jr.
• Margaret Haywood
• Bobbie Gail Hazen-Pope, LPN
• Glenn Robert Head, D.M.D.
• Haley Danielle Head, M.S., CF-SLP
• Mary M Head, RN

• Physical Therapy Assistant in Greenville, SC
• Providers in Greenville, SC by specialty
• Physical Therapy Assistant in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2011; 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.