Active NPI
Dustin Hayden
- Occupational Therapist
- Louisville, KY
National Provider Identifier
1639701261
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 261354
- Practice address
- 6005 Highplace Dr
Louisville, KY 40291-2264 - Phone
- (502) 656-5353
- NPI assigned
- Feb 11, 2020
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 261354 | KY | Primary |
Addresses
Primary practice location
6005 Highplace Dr
Louisville, KY 40291-2264
Mailing address
6005 Highplace Dr
Louisville, KY 40291-2264
Phone (502) 656-5353
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 261354 | KY | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Next PT Group Kentucky, LLC | Occupational Therapist | Current | Accepting new patients |
Locations
6901 Carslaw Ct
Prospect, KY 40059
Phone (502) 480-1794
Organizations & group practices 1
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": "1581379200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1581379200000",
"number": "1639701261",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6005 HIGHPLACE DR",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402912264",
"telephone_number": "502-656-5353"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6005 HIGHPLACE DR",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402912264",
"telephone_number": "502-656-5353"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAYDEN",
"first_name": "DUSTIN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-02-11",
"last_updated": "2020-02-11",
"certification_date": "2020-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "KY",
"license": "261354",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.