Nicholas Lee Haywood

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT5894 Issued in AR

Practice address

1502 Highway 367 S
Tuckerman, AR 72473-9148

Phone

(870) 808-4040

Fax

(870) 277-0896

NPI assigned

Apr 28, 2020

Last updated

Aug 11, 2026By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Gross Therapy Services, Inc.

  • Physical Therapist
  • Mountain Home, AR
  • NPI 1033236468
  NPD

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

{
    "created_epoch": "1588032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786406400000",
    "number": "1093336323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "809 ELIZABETH LN",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724059412",
            "telephone_number": "870-598-4362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1502 HIGHWAY 367 S",
            "city": "TUCKERMAN",
            "state": "AR",
            "postal_code": "724739148",
            "telephone_number": "870-808-4040",
            "fax_number": "870-277-0896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYWOOD",
        "first_name": "NICHOLAS",
        "middle_name": "LEE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-04-28",
        "last_updated": "2026-08-11",
        "certification_date": "2026-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AR",
            "license": "PT5894",
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• City Drug Store
• City of Tuckerman Recorder Treasurer (City of Tuckerman Volunteer Ambulance Services)
• Anne French, RN
• Juan Gonzalez
• Leslie Hall
• Kyndale Honey-Williams
• Jackson County School District
• Julie Keton
• Kidspot Jackson County Inc
• Kidspot Jackson County Inc

• Physical Therapist in Tuckerman, AR
• Providers in Tuckerman, AR by specialty
• Physical Therapist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2026; 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.