Individual provider Active NPI

Jennifer A Hayden, PT, ATC

  • Physical Therapist
  • Bardstown, KY
National Provider Identifier
1871515064
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4503 Issued in KY
Practice address
875 Pennsylvania Ave
Bardstown, KY 40004-2529
Phone
(502) 349-6961
NPI assigned
Jul 24, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 4503 KY Primary

Addresses

Primary practice location

875 Pennsylvania Ave
Bardstown, KY 40004-2529

Mailing address

2808 Oakwood Dr
Bardstown, KY 40004-9153
Phone (502) 460-6411

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100428000390 KY Practitioner - Physical Therapist in Private Practice 6406983113 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SN Kentuckiana Rehab, LLCGroup PAC ID 1254671464, 339 clinicians

Practice addresses (Care Compare)

113 Central Shopping Ctr
Campbellsville, KY 42718-1857
Phone (270) 469-1076

210 E Gray St
Suite 807
Louisville, KY 40202-3927
Phone (502) 587-9350

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4503KYMDSurgical Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Kentucky Orthopedic Rehabilitation, LLC CurrentSince Mar 21, 2010 Accepting new patients
NPI 1437159480 CurrentSince Mar 21, 2010 Accepting new patients
SN Kentuckiana Rehab, LLC Physical Therapist Current Accepting new patients
SN Kentuckiana Rehab, LLC CurrentSince Apr 1, 2019 Accepting new patients
SN Kentuckiana Rehab, LLC CurrentSince Apr 1, 2019 Accepting new patients
Kentucky Orthopedic Rehabilitation, LLC Physical Therapist Current Accepting new patients

Locations

930 Jamestown St
Columbia, KY 42728
Phone (270) 751-8730

2618 Ring Rd
Ste 110
Elizabethtown, KY 42701
Phone (270) 230-1729

708 Westport Rd
Elizabethtown, KY 42701
Phone (207) 766-1213

210 E Gray St
Ste 807
Louisville, KY 40202
Phone (502) 587-9350

190 Shadowmeade Ln
Mt Washington, KY 40047
Phone (502) 538-2332

229 Letton Dr
Paris, KY 40361
Phone (859) 340-1061

543 Taylorsville Rd
Ste 101
Taylorsville, KY 40071
Phone (423) 618-4193

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1871515064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2808 OAKWOOD DR",
            "city": "BARDSTOWN",
            "state": "KY",
            "postal_code": "400049153",
            "telephone_number": "502-460-6411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 PENNSYLVANIA AVE",
            "city": "BARDSTOWN",
            "state": "KY",
            "postal_code": "400042529",
            "telephone_number": "502-349-6961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYDEN",
        "first_name": "JENNIFER",
        "middle_name": "A",
        "credential": "PT, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "4503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bardstown, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.