Luke Jason Haynes, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1092740 Issued in TX

Practice address

1115 Fort Worth Hwy Ste 1200
Weatherford, TX 76086

Phone

(817) 594-9200

Fax

(817) 594-9202

NPI assigned

Jul 5, 2005

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Endeavor Rehab Center IncGroup PAC ID 6800989369, 123 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Endeavor Rehab Center Inc

  • Physical Therapist
  • Austin, TX
  • NPI 1760506232
  Medicare reassignment Care Compare group
• LJ Haynes Company

  dba Haynes Physical Therapy

  • Physical Therapist
  • Weatherford, TX
  • NPI 1922537570
  Medicare reassignment

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

{
    "created_epoch": "1120521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536105600000",
    "number": "1689671612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 237",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "760860237",
            "telephone_number": "817-594-9200",
            "fax_number": "817-594-9202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 FORT WORTH HWY STE 1200",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "76086",
            "telephone_number": "817-594-9200",
            "fax_number": "817-594-9202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYNES",
        "first_name": "LUKE",
        "middle_name": "JASON",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-05",
        "last_updated": "2018-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1092740",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0877474-02",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emma Hawkins
• Rachel Hawthorne, DPT
• Skylar Hay, PT, DPT
• Shazil Hayat, DMD
• Kristy Deann Haynes
• Lawrence J Hayward, PA
• Delaney A Hazard
• Jillian Grace Hazen
• Hbca Texas, LLC (Newsound Solutions)
• HCJ Legacy LLC

• Physical Therapist in Weatherford, TX
• Providers in Weatherford, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2018; 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.