Active NPI
Renee Hayslett, PT
- Physical Therapist
- Elyria, OH
National Provider Identifier
1548415276
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 010904
- Practice address
- 436 E River St
Ste 6
Elyria, OH 44035-5200 - Phone
- (440) 322-1667
- Fax
- (440) 284-5987
- NPI assigned
- Nov 21, 2008
- 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 | 010904 | OH | Primary |
Addresses
Primary practice location
436 E River St
Ste 6
Elyria, OH 44035-5200
Mailing address
436 East River St
Ste 6
Elyria, OH 44035
Phone (440) 322-1667
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 |
|---|---|---|---|
| 010904 | OH | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthquest of Avon, Inc. | Physical Therapist | Past | Accepting new patients |
| Two Enterprises Inc. | Physical Therapist | Past | Accepting new patients |
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": "1227225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1227225600000",
"number": "1548415276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "436 EAST RIVER ST",
"address_2": "STE 6",
"city": "ELYRIA",
"state": "OH",
"postal_code": "44035",
"telephone_number": "440-322-1667",
"fax_number": "440-284-5987"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "436 E RIVER ST",
"address_2": "STE 6",
"city": "ELYRIA",
"state": "OH",
"postal_code": "440355200",
"telephone_number": "440-322-1667",
"fax_number": "440-284-5987"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAYSLETT",
"first_name": "RENEE",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-11-21",
"last_updated": "2008-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "010904",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elyria, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.