Kimberle R Hayward, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501010617 Issued in MI

Practice address

1481 W 10TH St
Indianapolis, IN 46202-2803

Phone

(317) 988-9266

NPI assigned

Aug 31, 2007

Last updated

Jul 21, 2022By 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

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

{
    "created_epoch": "1188518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1306030473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4318 FRASER RD",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487069450",
            "telephone_number": "989-671-9458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1481 W 10TH ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462022803",
            "telephone_number": "317-988-9266"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1500 Weiss St",
            "address_purpose": "LOCATION",
            "city": "Saginaw",
            "state": "MI",
            "postal_code": "486025251",
            "country_code": "US",
            "telephone_number": "989-497-2500 x11061",
            "fax_number": "989-321-4948",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAYWARD",
        "first_name": "KIMBERLE",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-31",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501010617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Corrie Nicole Hays, MD
• Geoffrey Price Hays, MD
• Mary Elizabeth Hays, LMHC
• Tabitha Nicole Hays, BCBA
• Michael Scott Hayse, RN
• Thomas Z Hayward III, MD
• Abigail Mackenzie Haywood, PA-C
• Laura Haywood
• Katy Lynn Hazard, LCSW
• Julia A Hazel, LPN

• Physical Therapist in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Physical Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.