Organization Active NPI

Haynes Sports Therapy and Rehab, Inc.

  • Physical Therapy Clinic/Center
  • Hope, AR
National Provider Identifier
1902894660
Registry record updated Nov 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
HAYNES SPORTS THERAPY AND REHAB, INC.
Practice address
206 N Hervey St
Hope, AR 71801-3613
Phone
(870) 777-6798
Fax
(870) 777-6880
NPI assigned
Oct 7, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2007

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

Authorized official

Name
Mr. William J Haynes
Title
Owner
Phone
(870) 777-6798

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

206 N Hervey St
Hope, AR 71801-3613

Mailing address

PO Box 68
Hope, AR 71802-0068
Phone (870) 777-6798

Other identifiers 1

IdentifierTypeStateIssuer
5B934OtherARBC BS PROVIDER CLINIC NUM

National Provider Directory

National Provider Directory

Locations

206 N Hervey St
Hope, AR 71801
Phone (870) 777-6798

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1128643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195603200000",
    "number": "1902894660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 68",
            "city": "HOPE",
            "state": "AR",
            "postal_code": "718020068",
            "telephone_number": "870-777-6798",
            "fax_number": "870-777-6880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 N HERVEY ST",
            "city": "HOPE",
            "state": "AR",
            "postal_code": "718013613",
            "telephone_number": "870-777-6798",
            "fax_number": "870-777-6880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAYNES SPORTS THERAPY AND REHAB, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-07",
        "last_updated": "2007-11-21",
        "status": "A",
        "authorized_official_last_name": "HAYNES",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "870-777-6798",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS PROVIDER CLINIC NUM",
            "identifier": "5B934",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hope, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2007; 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.