Matthew Haynes

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2162969 Issued in TX

Practice address

15109 Heathrow Forest Pkwy
Houston, TX 77032-3851

Phone

(281) 801-4601

NPI assigned

Jan 5, 2022

Last updated

Jan 5, 2022By the provider in NPPES

Sex

Male

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": "1641340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641340800000",
    "number": "1629739339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14502 ANDOVER BIRCH DR",
            "city": "ROSHARON",
            "state": "TX",
            "postal_code": "775833882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15109 HEATHROW FOREST PKWY",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770323851",
            "telephone_number": "281-801-4601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYNES",
        "first_name": "MATTHEW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-01-05",
        "last_updated": "2022-01-05",
        "certification_date": "2022-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2162969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deveonna Haynes
• James D. Haynes Jr., D.C.
• Jimmie C Haynes, RPH
• Leah Haynes
• Marilyn Haynes
• Melinda Marie Haynes, LPCC
• Preston Haynes
• Reginald Anthony Haynes, ACNP-BC
• Richard Justis Haynes, MD
• Staci Delane Haynes, COTA/L

• Physical Therapy Assistant in Houston, TX
• Providers in Houston, TX by specialty
• Physical Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 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.