Active NPI
Edward N Hayden III, DPT
- Physical Therapist
- Suffolk, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2305205941
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 192074 | Other | VA | ANTHEM BLUE CROSS BLUE SHIELD |
| 10019389 | Other | VA | OPTIMA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jonathan R. Schaier, D.C.,P.C. | Current | Accepting new patients | |
| Wardell Orthopaedics PC | Current | Accepting new patients | |
| Dr Brian Scott LLC | Past | 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.
-
- Chiropractor
- Chesapeake, VA
- NPI 1780783936
-
- Orthopaedic Surgery Physician
- Suffolk, VA
- NPI 1376563809
-
- Chiropractor
- Virginia Beach, VA
- NPI 1790170876
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.