Individual provider Active NPI

Jefferson Baylor Haught, STUDENT

  • Sports Physical Therapist
  • Williamstown, WV
National Provider Identifier
1770243156
Registry record updated Dec 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physical TherapistTaxonomy code 2251S0007X
Practice address
406 W 4TH St
Williamstown, WV 26187-1107
Phone
(304) 580-9008
NPI assigned
Dec 27, 2021
Last updated
Dec 27, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physical Therapist 2251S0007X Primary

Addresses

Primary practice location

406 W 4TH St
Williamstown, WV 26187-1107

Mailing address

406 W 4TH St
Williamstown, WV 26187-1107

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL baylorhaught2@gmail.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1640563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640563200000",
    "number": "1770243156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 W 4TH ST",
            "city": "WILLIAMSTOWN",
            "state": "WV",
            "postal_code": "261871107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 W 4TH ST",
            "city": "WILLIAMSTOWN",
            "state": "WV",
            "postal_code": "261871107",
            "telephone_number": "304-580-9008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAUGHT",
        "first_name": "JEFFERSON",
        "middle_name": "BAYLOR",
        "credential": "STUDENT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-12-27",
        "last_updated": "2021-12-27",
        "certification_date": "2021-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "baylorhaught2@gmail.com",
            "affiliation": "N",
            "address_1": "406 W 4th St",
            "city": "Williamstown",
            "state": "WV",
            "country_code": "US",
            "postal_code": "261871107",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Williamstown, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.