Active NPI
Dana Lynn Hayworth
- Orthopedic Physical Therapist
- Wichita, KS
National Provider Identifier
1255486262
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 1100981
- Practice address
- 9727 E Shannon Woods Cir
Wichita, KS 67226-4102 - Phone
- (316) 681-0824
- Fax
- (316) 219-1349
- NPI assigned
- Jan 23, 2007
- 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 |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 1100981 | KS | Primary |
Addresses
Primary practice location
9727 E Shannon Woods Cir
Wichita, KS 67226-4102
Mailing address
9827 N Woodlawn St
Valley Center, KS 67147-8582
Phone (316) 681-0824
Other names 1
- Ms. Dana Lynn Hayworth
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 |
|---|---|---|---|
| 1100981 | KS | MD | Orthopedic Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1255486262",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9827 N WOODLAWN ST",
"city": "VALLEY CENTER",
"state": "KS",
"postal_code": "671478582",
"telephone_number": "316-681-0824",
"fax_number": "316-219-1349"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9727 E SHANNON WOODS CIR",
"city": "WICHITA",
"state": "KS",
"postal_code": "672264102",
"telephone_number": "316-681-0824",
"fax_number": "316-219-1349"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAYWORTH",
"first_name": "DANA",
"middle_name": "LYNN",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "KS",
"license": "1100981",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DANA",
"last_name": "HAYWORTH",
"middle_name": "LYNN",
"prefix": "MS.",
"credential": "P.T.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Wichita, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.