Carrie Lynn Haynes, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

A04181 Issued in KY

Practice address

9600 Lamborne Blvd
Louisville, KY 40272-2505

Phone

(502) 935-7284

NPI assigned

Feb 15, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1613347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613347200000",
    "number": "1790378362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1216 E MARKET ST",
            "city": "NEW ALBANY",
            "state": "IN",
            "postal_code": "471502838",
            "telephone_number": "606-875-8410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9600 LAMBORNE BLVD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402722505",
            "telephone_number": "502-935-7284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYNES",
        "first_name": "CARRIE",
        "middle_name": "LYNN",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-15",
        "last_updated": "2021-02-15",
        "certification_date": "2021-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "KY",
            "license": "A04181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristen Ann Hayes
• Madison Hayes, RBT
• Nicole Hayes
• Patrick R Hayes, PTA
• Tavares Pleshette Hayes
• Chanda V Haynes, LPC
• Elaura Marie Haynes, CNM
• Emalee Haynes, PHARMD
• Jennifer Haynes, APRN
• Susan Haynes, MS, OTR/L

• Physical Therapy Assistant in Louisville, KY
• Providers in Louisville, KY by specialty
• Physical Therapy Assistant in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 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.