Individual provider Active NPI

Jaevon D Haywood, PT, DPT

  • Orthopedic Physical Therapist
  • Austin, TX
National Provider Identifier
1295628014
Registry record updated Aug 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
1407219 Issued in TX
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

Updated by the provider on Aug 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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
Austin Manual Therapy Associates, PCGroup PAC ID 4082685953, 4 clinicians

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

LicenseStateTypeSpecialty
1407219TXMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Austin Manual Therapy Associates, PC Orthopedic CurrentSince Aug 19, 2025 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.

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.

Verify at the official NPI Registry.