Individual provider Active NPI

Rebecca Porter Haynes

  • Physical Therapist
  • Madison, AL
National Provider Identifier
1760930382
Registry record updated Mar 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTH8151 Issued in AL
Practice address
8475 Wann Dr NW
Madison, AL 35758-9534
Phone
(256) 704-1700
NPI assigned
Sep 12, 2016
Last updated
Mar 20, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 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 PTH8151 AL Primary

Addresses

Primary practice location

8475 Wann Dr NW
Madison, AL 35758-9534

Mailing address

8415 Wann Dr
Madison, AL 35758-9534

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161025001309 AL Practitioner - Physical Therapist in Private Practice 5193003226 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
HH Health System - the Orthopaedic Center LLCGroup PAC ID 0547624843, 172 clinicians

Practice addresses (Care Compare)

8475 Wann Dr
Madison, AL 35758-9534
Phone (256) 539-2728

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PTH8151ALMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
The Orthopaedic Center CurrentSince Sep 12, 2016 Accepting new patients
HH Health System - the Orthopaedic Center, LLC CurrentSince Sep 12, 2023 Accepting new patients

Locations

927 Franklin St SE
Fl 1
Huntsville, AL 35801

927 Franklin St SE
Fl 2
Huntsville, AL 35801
Phone (256) 428-3000

927 Franklin St SE
Fl 3
Huntsville, AL 35801
Phone 25653927283326

927 Franklin St SE
Fl 4
Huntsville, AL 35801

8415 Wann Dr NW
Madison, AL 35758
Phone (256) 704-1210

8475 Wann Dr NW
Madison, AL 35758
Phone (256) 539-2738

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/fca878a1-6c97-4ecb-b6e7-eb5d7cde15ab/

Organizations & group practices 2

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": "1473638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710892800000",
    "number": "1760930382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8415 WANN DR",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357589534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8475 WANN DR NW",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357589534",
            "telephone_number": "256-704-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYNES",
        "first_name": "REBECCA",
        "middle_name": "PORTER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-12",
        "last_updated": "2024-03-20",
        "certification_date": "2024-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH8151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 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.