Marygrace Paggao Haydock, PHYSICAL THERAPIST

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

18742 Issued in MD

Practice address

509 E Joppa Rd
Towson, MD 21286-5404

Phone

(410) 828-9494

NPI assigned

Sep 26, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Marygrace Calaycay Paggao Professional name

Electronic endpoints 1

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": "1664150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664150400000",
    "number": "1972226744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 E JOPPA RD",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212865404",
            "telephone_number": "410-828-1740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 E JOPPA RD",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212865404",
            "telephone_number": "410-828-9494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYDOCK",
        "first_name": "MARYGRACE",
        "middle_name": "PAGGAO",
        "name_prefix": "Miss",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-26",
        "last_updated": "2022-09-26",
        "certification_date": "2022-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "18742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mgh30@ao.com",
            "affiliation": "N",
            "endpointDescription": "mgh30@ao.com",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "509 E Joppa Rd",
            "city": "Towson",
            "state": "MD",
            "country_code": "US",
            "postal_code": "212865404",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MARYGRACE",
            "last_name": "PAGGAO",
            "middle_name": "CALAYCAY",
            "prefix": "MISS",
            "credential": "PHYSICAL THERAPIST",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Hawn Therapy and Consulting, LLC
• Hawthorne Legacy Enterprises
• Keisha Natalie Hawthorne-Jones, LCSW-C
• Nancy-Bets E. Hay, LCSW-C
• Sarah Ruth Hayden, PA-C
• Ayanna Hayes
• Hunter Hayes
• India Hayes
• Cassandra Hayles
• Kiersten Haynes

• Physical Therapist in Towson, MD
• Providers in Towson, MD by specialty
• Physical Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2022; 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.