Active NPI
Darren R Haynes, PT
- Physical Therapist
- Waco, TX
National Provider Identifier
1073824181
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1230197
- Practice address
- 1200 Richland Dr
Suite G
Waco, TX 76710-8008 - Phone
- (254) 772-0118
- Fax
- (254) 772-3883
- NPI assigned
- Jun 24, 2010
- Last updated
- Oct 24, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1230197 | TX | Primary |
Addresses
Primary practice location
1200 Richland Dr
Suite G
Waco, TX 76710-8008
Mailing address
PO Box 1240
Ashland, KY 41105-1240
Phone (606) 329-0910
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1230197 | TX | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277337600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1382572800000",
"number": "1073824181",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1240",
"city": "ASHLAND",
"state": "KY",
"postal_code": "411051240",
"telephone_number": "606-329-0910"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 RICHLAND DR",
"address_2": "SUITE G",
"city": "WACO",
"state": "TX",
"postal_code": "767108008",
"telephone_number": "254-772-0118",
"fax_number": "254-772-3883"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAYNES",
"first_name": "DARREN",
"middle_name": "R",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-06-24",
"last_updated": "2013-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1230197",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waco, TX
- Leanne Haverkost, FNP
- Kelly Lyn Hawkins, OTR/L
- Michael Joseph Hawkins, DVM
- Rita L Haws, MD
- Beverly Haynes, R.N., N.P.
- David Edward Haynes, MD
- Katherine A Haynes, M.D.
- HCR Performance, PLLC (Tyler Jones Performance Therapy)
- Healing and Hope Counseling of Waco
- Health and Human Services Commission (Waco Center For Youth)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.