Individual provider Active NPI

Hayden Alan Knight, PT, DPT

  • Physical Therapist
  • Center, TX
National Provider Identifier
1699325456
Registry record updated Feb 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
10518R Issued in LA
Practice address
854 Hurst St Ste 108
Center, TX 75935-3440
Phone
(936) 598-3832
NPI assigned
Sep 13, 2019
Last updated
Feb 6, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 10518R LA Primary
Physical Therapist 225100000X 3124697 TX

Addresses

Primary practice location

854 Hurst St Ste 108
Center, TX 75935-3440

Mailing address

3820 Fountainbleau Rd
Keithville, LA 71047-6552
Phone (318) 465-2806

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200324002398 TX Practitioner - Physical Therapist in Private Practice 3173951886 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cornerstone Therapy and Balance Center, LLCGroup PAC ID 0345397899, 98 clinicians

Practice addresses (Care Compare)

204 Tenaha St
Center, TX 75935-3862
Phone (936) 280-0280

8961 Youree Dr
Shreveport, LA 71115-3001
Phone (318) 671-8772

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10518RLAMDPhysical Therapist
3124697TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Physical Therapy Group II LLC Physical Therapist CurrentSince Jan 1, 2024 Accepting new patients
Rehabcare Group East Inc. PastSince Sep 15, 2019 Accepting new patients

Locations

2906 Plantation Dr
Bossier City, LA 71111
Phone (318) 631-7999

8660 Fern Ave
Ste 160
Shreveport, LA 71105
Phone (318) 631-7999

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": "1568332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580947200000",
    "number": "1699325456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3820 FOUNTAINBLEAU RD",
            "city": "KEITHVILLE",
            "state": "LA",
            "postal_code": "710476552",
            "telephone_number": "318-465-2806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "854 HURST ST STE 108",
            "city": "CENTER",
            "state": "TX",
            "postal_code": "759353440",
            "telephone_number": "936-598-3832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNIGHT",
        "first_name": "HAYDEN",
        "middle_name": "ALAN",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-09-13",
        "last_updated": "2020-02-06",
        "certification_date": "2020-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "10518R",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "3124697",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Center, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2020; 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.