Jessica R Haynie, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305206723 Issued in VA

Practice address

15314 Carrollton Blvd
Carrollton, VA 23314-2304

Phone

(757) 650-2513

NPI assigned

Oct 27, 2010

Last updated

Feb 3, 2021By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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.

• Rise Physical Therapy & Wellness, PLLC

  • Physical Therapy Clinic/Center
  • Carrollton, VA
  • NPI 1295328706
  Authorized official Same address or phone

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

{
    "created_epoch": "1288137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612310400000",
    "number": "1962702704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9215 WIGNEIL ST",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234331530",
            "telephone_number": "757-650-2513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15314 CARROLLTON BLVD",
            "city": "CARROLLTON",
            "state": "VA",
            "postal_code": "233142304",
            "telephone_number": "757-650-2513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYNIE",
        "first_name": "JESSICA",
        "middle_name": "R",
        "name_prefix": "Ms.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-27",
        "last_updated": "2021-02-03",
        "certification_date": "2021-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305206723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachael Margaret Frye, FNP-C
• Felicia Elaine Goodrich, PMHNP-BC
• Growth Home Health Care LLC
• Happy Haven Adult Day Care LLC
• Hayes Medical Transportation Services, Inc.
• Healing Hands Home Health Care LLC
• Healing Minds and Families LLC
• Healthy Living Home Care LLC
• Help in Clearly Known Situations Hicks LLC (Help In Clearly Known Situations/ H.I.C.K.S)
• Home Sweet Home Childcare LLC

• Physical Therapist in Carrollton, VA
• Providers in Carrollton, VA by specialty
• Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2021; 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.