Individual provider Active NPI

Jana Dawn Haynes, MPT

  • Physical Therapist
  • Paragould, AR
National Provider Identifier
1346566585
Registry record updated Apr 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 3242 Issued in AR
Practice address
148 Linwood Dr
Paragould, AR 72450-4077
Phone
(870) 702-4911
NPI assigned
Apr 13, 2010
Last updated
Apr 6, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT 3242 AR Primary

Addresses

Primary practice location

148 Linwood Dr
Paragould, AR 72450-4077

Mailing address

PO Box 1034
Marion, AR 72364-1034
Phone (870) 702-4911

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200511001425 AR Practitioner - Physical Therapist in Private Practice 4082045935 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hands on Learning LLCGroup PAC ID 4183055114, 4 clinicians

Practice addresses (Care Compare)

148 Linwood Dr
Paragould, AR 72450-4077
Phone (870) 520-8761

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT 3242ARMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hands on Learning, LLC. Physical Therapist CurrentSince Feb 22, 2020 Accepting new patients
Goode Communications, Etc.,Inc Physical Therapist Past Accepting new patients

Locations

146 Linwood Dr
Paragould, AR 72450
Phone (870) 219-1086

148 Linwood Dr
Paragould, AR 72450
Phone (870) 219-1086

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1271116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586131200000",
    "number": "1346566585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1034",
            "city": "MARION",
            "state": "AR",
            "postal_code": "723641034",
            "telephone_number": "870-702-4911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "148 LINWOOD DR",
            "city": "PARAGOULD",
            "state": "AR",
            "postal_code": "724504077",
            "telephone_number": "870-702-4911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYNES",
        "first_name": "JANA",
        "middle_name": "DAWN",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-13",
        "last_updated": "2020-04-06",
        "certification_date": "2020-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AR",
            "license": "PT 3242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paragould, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2020; 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.