Individual provider Active NPI

Indigo Haynes

  • Physical Therapist
  • Austin, TX
National Provider Identifier
1356029664
Registry record updated Dec 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1407717 Issued in TX
Practice address
5401 La Crosse Ave Ste 101
Austin, TX 78739-2160
Phone
(512) 852-8134
Fax
(512) 852-8143
NPI assigned
Jul 6, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2025

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 1407717 TX Primary

Addresses

Primary practice location

5401 La Crosse Ave Ste 101
Austin, TX 78739-2160

Mailing address

5401 La Crosse Ave Ste 101
Austin, TX 78739-2160
Phone (512) 852-8134

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251216002713 TX Practitioner - Physical Therapist in Private Practice 9537653621 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Arizona College of Medicine, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Spero Rehabilitation, LLCGroup PAC ID 5890988216, 53 clinicians

Practice addresses (Care Compare)

5401 La Crosse Ave
BLDG C
Austin, TX 78739-2160
Phone (512) 852-8134

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1407717TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Spero Rehabilitation LLC Physical Therapist CurrentSince Dec 9, 2025 Accepting new patients
Children'S Hospital Pediatric Associates, Inc PastSince Dec 9, 2025 Accepting new patients

Locations

5401 La Crosse Ave
Ste 101
Austin, TX 78739
Phone (512) 852-8134

5401 La Crosse Ave
Bldg C
Austin, TX 78739
Phone (512) 852-8134

23225 Kingsland Blvd
Ste 600
Katy, TX 77494
Phone (281) 395-9090

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1688601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765152000000",
    "number": "1356029664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5401 LA CROSSE AVE STE 101",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787392160",
            "telephone_number": "512-852-8134",
            "fax_number": "512-852-8143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5401 LA CROSSE AVE STE 101",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787392160",
            "telephone_number": "512-852-8134",
            "fax_number": "512-852-8143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYNES",
        "first_name": "INDIGO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-06",
        "last_updated": "2025-12-08",
        "certification_date": "2025-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1407717",
            "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 Dec 8, 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.