Individual provider Active NPI

David Laif Haught, PT, LMT, AT

  • Physical Therapist
  • Little River, SC
National Provider Identifier
1689875080
Registry record updated Mar 31, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4462 Issued in SC
Practice address
304 Highway 90 E Unit C3
Little River, SC 29566-9446
Phone
(843) 663-3939
Fax
(843) 663-3940
NPI assigned
May 31, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 2009

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 4462 SC Primary

Addresses

Primary practice location

304 Highway 90 E Unit C3
Little River, SC 29566-9446

Mailing address

304 Highway 90 E Unit C3
Little River, SC 29566-9446
Phone (843) 663-3939

Other identifiers 1

IdentifierTypeStateIssuer
208549500OtherWVBCBS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090220000387 SC Practitioner - Physical Therapist in Private Practice 5991860298 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

304 Hwy 90 E
Unit C1
Little River, SC 29566-9446
Phone (843) 663-3939

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4462SCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
David L. Haught, PA CurrentSince Feb 1, 2011 Accepting new patients
The Human Performance and Wellness Center Past Accepting new patients
The Human Performance and Wellness Center Past Accepting new patients

Locations

304 Highway 90 E
Unit C1
Little River, SC 29566
Phone (843) 663-3939

304 Highway 90 E
Unit C3
Little River, SC 29566
Phone (843) 663-3939

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1180569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238457600000",
    "number": "1689875080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 HIGHWAY 90 E UNIT C3",
            "city": "LITTLE RIVER",
            "state": "SC",
            "postal_code": "295669446",
            "telephone_number": "843-663-3939",
            "fax_number": "843-663-3940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 HIGHWAY 90 E UNIT C3",
            "city": "LITTLE RIVER",
            "state": "SC",
            "postal_code": "295669446",
            "telephone_number": "843-663-3939",
            "fax_number": "843-663-3940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAUGHT",
        "first_name": "DAVID",
        "middle_name": "LAIF",
        "name_prefix": "Mr.",
        "credential": "PT, LMT, AT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-31",
        "last_updated": "2009-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "4462",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "208549500",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Little River, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2009; 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.