Kristopher Collin Haycock, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

295444 Issued in CA

Practice address

221 W Fir Ave Ste 105
Clovis, CA 93611-0223

Phone

(559) 325-3444

Fax

(559) 325-7444

NPI assigned

Aug 30, 2018

Last updated

Aug 30, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kris Collin Haycock Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Thrive Physical Therapy

  • Physical Therapist
  • Clovis, CA
  • NPI 1346359023
  NPD

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

{
    "created_epoch": "1535587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535587200000",
    "number": "1821570417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2210 E RYAN AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937204150",
            "telephone_number": "559-840-2704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 W FIR AVE STE 105",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936110223",
            "telephone_number": "559-325-3444",
            "fax_number": "559-325-7444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYCOCK",
        "first_name": "KRISTOPHER",
        "middle_name": "COLLIN",
        "name_prefix": "Mr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-30",
        "last_updated": "2018-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "295444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRIS",
            "last_name": "HAYCOCK",
            "middle_name": "COLLIN",
            "credential": "DPT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kimberly Ann Hastings, PT
• Morgan K Hatcher
• Brice Havens
• Shelby Nicole Havens
• Sumera Hayat, M.D.
• Healing Roots Family Therapy, Inc.
• Healthpoint Home Health, Inc.
• Healthy Sleep Solutions
• Heart Family Care Home LLC
• Pravachan V C Hegde, MD

• Physical Therapist in Clovis, CA
• Providers in Clovis, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2018; 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.