Active NPI
Irene Hayenga, PT
- Physical Therapist
- Augusta, GA
National Provider Identifier
1497388094
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT008329
- Practice address
- 724 Greene St
Augusta, GA 30901-2359 - Phone
- (888) 531-2204
- Fax
- (855) 232-8604
- NPI assigned
- Feb 21, 2020
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT008329 | GA | Primary |
Addresses
Primary practice location
724 Greene St
Augusta, GA 30901-2359
Mailing address
724 Greene St
Augusta, GA 30901-2359
Phone (888) 531-2204
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT008329 | GA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1582243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582243200000",
"number": "1497388094",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "724 GREENE ST",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309012359",
"telephone_number": "888-531-2204",
"fax_number": "855-232-8604"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "724 GREENE ST",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309012359",
"telephone_number": "888-531-2204",
"fax_number": "855-232-8604"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAYENGA",
"first_name": "IRENE",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-02-21",
"last_updated": "2020-02-21",
"certification_date": "2020-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT008329",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Augusta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.