Individual provider Active NPI

Edward N Hayden III, DPT

  • Physical Therapist
  • Suffolk, VA
National Provider Identifier
1801022157
Registry record updated May 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305205941 Issued in VA
Practice address
5818 Harbour View Blvd # D
Suite0150
Suffolk, VA 23435-3315
Phone
(757) 215-1400
Fax
(757) 215-1403
NPI assigned
Jun 1, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2017

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 2305205941 VA Primary

Addresses

Primary practice location

5818 Harbour View Blvd # D
Suite0150
Suffolk, VA 23435-3315

Mailing address

5818 Harbour View Blvd # D
Suite0150
Suffolk, VA 23435-3315
Phone (757) 215-1400

Other identifiers 2

IdentifierTypeStateIssuer
192074OtherVAANTHEM BLUE CROSS BLUE SHIELD
10019389OtherVAOPTIMA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170428001505 VA Practitioner - Physical Therapist in Private Practice 4880971878

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3220 Churchland Blvd
Chesapeake, VA 23321-5206

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Jonathan R. Schaier, D.C.,P.C. CurrentSince May 28, 2019 Accepting new patients
Wardell Orthopaedics PC CurrentSince Mar 17, 2017 Accepting new patients
Dr Brian Scott LLC PastSince May 28, 2019 Accepting new patients

Locations

3220 Churchland Blvd
Chesapeake, VA 23321
Phone (757) 483-6000

637 Kingsborough Sq
Ste D
Chesapeake, VA 23320
Phone (757) 215-1400

5818 Harbour View Blvd
Ste 150
Suffolk, VA 23435
Phone (757) 215-1400

1020 Bon Secours Dr
Ste 105
Suffolk, VA 23435
Phone (757) 215-1400

7025 Harbour View Blvd
Ste 117
Suffolk, VA 23435
Phone (757) 215-1400

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": "1243814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493769600000",
    "number": "1801022157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5818 HARBOUR VIEW BLVD # D",
            "address_2": "SUITE0150",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234353315",
            "telephone_number": "757-215-1400",
            "fax_number": "757-215-1403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5818 HARBOUR VIEW BLVD # D",
            "address_2": "SUITE0150",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234353315",
            "telephone_number": "757-215-1400",
            "fax_number": "757-215-1403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYDEN III",
        "first_name": "EDWARD",
        "middle_name": "N",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-01",
        "last_updated": "2017-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305205941",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS BLUE SHIELD",
            "identifier": "192074",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTIMA",
            "identifier": "10019389",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Suffolk, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2017; 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.