Active NPI
Liane Hayward, P.T.
- Physical Therapist
- Miller Place, NY
National Provider Identifier
1093009003
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 030758-1
- Practice address
- 41 Echo Ave
Miller Place, NY 11764-2108 - Phone
- (631) 331-2348
- Fax
- (631) 928-7068
- NPI assigned
- Jun 7, 2011
- Sex
- Female
- 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 | 030758-1 | NY | Primary |
Addresses
Primary practice location
41 Echo Ave
Miller Place, NY 11764-2108
Mailing address
70 Scuttle Hole Rd
Water Mill, NY 11976-2518
Phone (631) 726-0474
Other practice location 1
70 Scuttle Hole Road
Water Mill, NY 11976
Phone (631) 726-0474
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, DC
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11665 Doolittle Dr
Waldorf, MD 20602-2898
Phone (877) 407-3422
6451 N Charles St
Baltimore, MD 21212-1010
Phone (877) 407-3422
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 030758-1 | NY | MD | Physical Therapist |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Timonium, MD
- NPI 1588901847
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1625097600000",
"number": "1093009003",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "70 SCUTTLE HOLE RD",
"city": "WATER MILL",
"state": "NY",
"postal_code": "119762518",
"telephone_number": "631-726-0474"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "41 ECHO AVE",
"city": "MILLER PLACE",
"state": "NY",
"postal_code": "117642108",
"telephone_number": "631-331-2348",
"fax_number": "631-928-7068"
}
],
"practiceLocations": [
{
"address_1": "70 Scuttle Hole Road",
"address_purpose": "LOCATION",
"city": "Water Mill",
"state": "NY",
"postal_code": "11976",
"country_code": "US",
"telephone_number": "631-726-0474",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HAYWARD",
"first_name": "LIANE",
"name_prefix": "Dr.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-06-07",
"last_updated": "2021-07-01",
"certification_date": "2021-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "030758-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Miller Place, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.