Kourtnee Hayward, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA10558 Issued in AL

Practice address

2846 Moody Pkwy Ste 200
Moody, AL 35004-3329

Phone

(205) 640-0257

Fax

(205) 640-0285

NPI assigned

Nov 24, 2021

Last updated

Nov 24, 2021By the provider in NPPES

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

Practice roles

Locations

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.

• Benchmark Physical Therapy of Alabama, LLC

  • Physical Therapist
  • Chattanooga, TN
  • NPI 1659642916
  NPD
• Benchmark Physical Therapy of Alabama, LLC

  • Physical Therapist
  • Moody, AL
  • NPI 1417386434
  NPD (past)

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

{
    "created_epoch": "1637712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637712000000",
    "number": "1205593258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CORPORATE DR STE 400",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352425424",
            "telephone_number": "423-238-7217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2846 MOODY PKWY STE 200",
            "city": "MOODY",
            "state": "AL",
            "postal_code": "350043329",
            "telephone_number": "205-640-0257",
            "fax_number": "205-640-0285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYWARD",
        "first_name": "KOURTNEE",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-24",
        "last_updated": "2021-11-24",
        "certification_date": "2021-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "AL",
            "license": "PTA10558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Anthony Funk, PT, MSPT
• Dana Gamel
• GD Al Moody PLLC (The Dental Office of Moody)
• Sudha R Gutti, D.M.D.
• James Harb
• Alana Henderson
• Valerie Ann Henslee, AGNP
• Victoria Hollis Hines, O.D.
• Gregory A Hively, O.D.
• Hometown Family Medicine, Inc.

• Physical Therapy Assistant in Moody, AL
• Providers in Moody, AL by specialty
• Physical Therapy Assistant in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2021; 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.