Individual provider Active NPI

Peyton Haynes, PT

  • Physical Therapist
  • Lafayette, LA
National Provider Identifier
1649093543
Registry record updated Nov 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11902 Issued in LA
Practice address
108 Rue Louis Xiv
Lafayette, LA 70508-5739
Phone
(337) 889-3106
NPI assigned
Nov 7, 2024
Last updated
Nov 7, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2024

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 11902 LA Primary

Addresses

Primary practice location

108 Rue Louis Xiv
Lafayette, LA 70508-5739

Mailing address

108 Rue Louis Xiv
Lafayette, LA 70508-5739
Phone (337) 889-3098

Other practice location 1

6331 Cameron St Ste 102
Scott, LA 70583-5021
Phone (337) 889-3106

Other practice location 2

3215 E Milton Ave Ste 7-8
Youngsville, LA 70592-5546
Phone (337) 889-3106

Other practice location 3

1501 Kaliste Saloom Rd Ste H
Lafayette, LA 70508-5760
Phone (337) 889-3106

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241121000910 LA Practitioner - Physical Therapist in Private Practice 9537694070 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

108 Rue Louis Xiv
Lafayette, LA 70508-5739
Phone (337) 889-3098

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11902LAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Louisiana Orthopaedic Specialists, LLC Physical Therapist CurrentSince Dec 4, 2024 Accepting new patients
Louisiana Orthopaedic Specialists, LLC Physical Therapist Past Accepting new patients
Louisiana Orthopaedic Specialists, LLC Past Accepting new patients

Locations

108 Rue Louis Xiv
Lafayette, LA 70508
Phone (337) 889-3098

1501 Kaliste Saloom Rd
Ste H
Lafayette, LA 70508
Phone (337) 889-3106

6331 Cameron St
#102
Scott, LA 70583
Phone (337) 889-3106

3215 E Milton Ave
Ste 7
Youngsville, LA 70592
Phone (337) 367-6649

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1730937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730937600000",
    "number": "1649093543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 RUE LOUIS XIV",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705085739",
            "telephone_number": "337-889-3098",
            "fax_number": "337-504-7453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 RUE LOUIS XIV",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705085739",
            "telephone_number": "337-889-3106"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6331 Cameron St Ste 102",
            "address_purpose": "LOCATION",
            "city": "Scott",
            "state": "LA",
            "postal_code": "705835021",
            "country_code": "US",
            "telephone_number": "337-889-3106",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3215 E Milton Ave Ste 7-8",
            "address_purpose": "LOCATION",
            "city": "Youngsville",
            "state": "LA",
            "postal_code": "705925546",
            "country_code": "US",
            "telephone_number": "337-889-3106",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1501 Kaliste Saloom Rd Ste H",
            "address_purpose": "LOCATION",
            "city": "Lafayette",
            "state": "LA",
            "postal_code": "705085760",
            "country_code": "US",
            "telephone_number": "337-889-3106",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAYNES",
        "first_name": "PEYTON",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-07",
        "last_updated": "2024-11-07",
        "certification_date": "2024-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "11902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2024; 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.