Active NPI
Jaevon D Haywood, PT, DPT
- Orthopedic Physical Therapist
- Austin, TX
National Provider Identifier
1295628014
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 1407219
- Practice address
- 3508 Far West Blvd Ste 240
Austin, TX 78731-2281 - Phone
- (512) 832-9411
- Fax
- (512) 832-9401
- NPI assigned
- May 30, 2025
- Sex
- Male
- 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 | 1407219 | TX | Primary |
Addresses
Primary practice location
3508 Far West Blvd Ste 240
Austin, TX 78731-2281
Mailing address
3508 Far West Blvd Ste 240
Austin, TX 78731-2281
Phone (512) 832-9411
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250925001032 | TX | Practitioner - Physical Therapist in Private Practice | 8527563089 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3508 Far W Blvd
Suite 240
Austin, TX 78731-2281
Phone (512) 832-9411
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1407219 | TX | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Austin Manual Therapy Associates, PC | Orthopedic | Current | Accepting new patients |
Locations
3508 Far West Blvd
Ste 240
Austin, TX 78731
Phone (512) 832-9411
Organizations & group practices 1
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.
-
- Orthopedic Physical Therapist
- Austin, TX
- NPI 1154368959
Orthopedic, TX
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1748563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756080000000",
"number": "1295628014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3508 FAR WEST BLVD STE 240",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787312281",
"telephone_number": "512-832-9411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3508 FAR WEST BLVD STE 240",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787312281",
"telephone_number": "512-832-9411",
"fax_number": "512-832-9401"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAYWOOD",
"first_name": "JAEVON",
"middle_name": "D",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-05-30",
"last_updated": "2025-08-25",
"certification_date": "2025-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "TX",
"license": "1407219",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2025; 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.