Active NPI
Ellen Denise Haynes
- Physical Therapy Assistant
- Hot Springs, AR
National Provider Identifier
1235303397
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- PTA2049
- Practice address
- 156A Seashore PT
Hot Springs, AR 71913-8692 - Phone
- (870) 703-8589
- NPI assigned
- Apr 18, 2008
- Last updated
- May 29, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 2049 | AR | |
| Physical Therapy Assistant | 225200000X | 2061257 | TX | |
| Physical Therapy Assistant | 225200000X | PTA2049 | AR | Primary |
Addresses
Primary practice location
156A Seashore PT
Hot Springs, AR 71913-8692
Mailing address
156A Seashore PT
Hot Springs, AR 71913-8692
Phone (870) 703-8589
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 |
|---|---|---|---|
| PTA2049 | AR | MD | Physical Therapy Assistant |
| 2061257 | TX | MD | Physical Therapy Assistant |
| 2049 | AR | MD | Pediatric Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748476800000",
"number": "1235303397",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "156A SEASHORE PT",
"city": "HOT SPRINGS",
"state": "AR",
"postal_code": "719138692",
"telephone_number": "870-703-8589"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "156A SEASHORE PT",
"city": "HOT SPRINGS",
"state": "AR",
"postal_code": "719138692",
"telephone_number": "870-703-8589"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAYNES",
"first_name": "ELLEN",
"middle_name": "DENISE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-04-18",
"last_updated": "2025-05-29",
"certification_date": "2025-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "AR",
"license": "2049",
"primary": false
},
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "TX",
"license": "2061257",
"primary": false
},
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "AR",
"license": "PTA2049",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hot Springs, AR
- Diana Gail Hawkins, MSCCCSLP
- Tammie Haws
- Michael Hawthorne, CSS
- Haynes Family Dental Clinic
- Danny Ray Haynes, D.D.S.
- Ricky Hays, MHPP
- Christopher James Healey
- Healing Hands Physical Therapy, LLC
- Healthcare Medical & Respiratory Care Inc
- Healthfirst Physicians of Arkansas (dba Hot Springs Internal Medicine)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.