Yajaira Haygood, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA004510 Issued in GA

Practice address

1109 Green St
Roswell, GA 30075-3609

Phone

(877) 787-3430

NPI assigned

Jul 17, 2020

Sex

Female

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

• Yajaira Diaz Former name

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": "1594944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596499200000",
    "number": "1891303640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1965 TOMAHAWK LN",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300283773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1109 GREEN ST",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300753609",
            "telephone_number": "877-787-3430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYGOOD",
        "first_name": "YAJAIRA",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-17",
        "last_updated": "2020-08-04",
        "certification_date": "2020-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "GA",
            "license": "PTA004510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "YAJAIRA",
            "last_name": "DIAZ",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Shannon M. Hay, PT, DPT
• Taylor Hay, BCBA
• Ashley Monee Hayes, PA-C
• Jill Hayes, RBT
• Karen Helen Hayes, A.T.,C.
• James Clifton Haynes, M.D.
• Dawn Hazzard, B.S., D.C.
• Kathryn Potter Headlee-Jones, LMSW
• Healing Restorations Consulting LLC
• Health at Home Therapy - Atlanta, LLC

• Physical Therapy Assistant in Roswell, GA
• Providers in Roswell, GA by specialty
• Physical Therapy Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2020; 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.