CARL HAYNES (NPI# 1114438322) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114438322 |
| Entity Type | Individual |
| Full Name | CARL HAYNES |
| Practice Address |
2130 Continental Dr West Bend WI 53095-7904 |
| Mailing Address |
21 Thatcham Dr Apt 13 Champaign IL 61820-2380 |
| Practice Telephone | 2623380092 |
| Enumeration Date | 2017-10-14 |
| Last Update Date | 2017-10-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 070021798 | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720063340 | Carl L Haynes Jr. | Family Medicine | 101 S Carey St, La Grange, NC 28551-1805 | 2005-12-07 |
| Street Address |
2130 CONTINENTAL DR |
| City | WEST BEND |
| State | WI |
| Zip Code | 53095-7904 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962753020 | West Bend Ops, LLC | Assisted Living Facility | 2130 Continental Dr, West Bend, WI 53095-7904 | 2012-09-28 |
| 1861005647 | Emily Utic | Occupational Therapist | 2130 Continental Dr, West Bend, WI 53095-7904 | 2020-08-31 |
| 1831709815 | Haley Lynam | Physical Therapist | 2130 Continental Dr, West Bend, WI 53095-7904 | 2020-08-05 |
| 1508401746 | Susan Widener | Occupational Therapist | 2130 Continental Dr, West Bend, WI 53095-7904 | 2019-11-12 |
| 1427604388 | Kelleigh Best | Speech-Language Pathologist | 2130 Continental Dr, West Bend, WI 53095-7904 | 2019-08-15 |
| 1851944649 | Molly Jean Pugh | Occupational Therapist | 2130 Continental Dr, West Bend, WI 53095-7904 | 2019-07-20 |
| 1285294934 | Erin Klimek | Physical Therapist | 2130 Continental Dr, West Bend, WI 53095-7904 | 2019-06-15 |
| 1376054403 | Debra Lynn Prox | Occupational Therapist | 2130 Continental Dr, West Bend, WI 53095-7904 | 2017-10-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942820428 | David Fountain | Contractor | 726 Creedwood Lane, West Bend, WI 53095 | 2020-04-24 |
| 1922664358 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 1745 South Main St, West Bend, WI 53095 | 2019-05-10 |
| 1912423773 | Michelle R Prentice | Family Medicine | West Bend Health Center, 1700 W. Paradise Drive, West Bend, WI 53095 | 2017-08-14 |
| 1386165918 | Quad/med, LLC | Clinic/Center | 432 E. Washington St. #1115, West Bend, WI 53095 | 2017-07-05 |
| 1508230632 | Jesen Daniel | Counselor | 111 East Washington St, Affiliated Clinical Services, West Bend, WI 53095 | 2015-12-01 |
| 1477965259 | Jenna Crofts | Specialist/Technologist | 1190 East Paradise Drive, West Bend, WI 53095 | 2014-05-28 |
| 1023436342 | Visionworks | Optometrist | 1437 S. Main St., West Bend, WI 53095 | 2014-04-03 |
| 1295157295 | Stephanie Rabe | Registered Nurse | 910 E. Paradise Drive, West Bend, WI 53095 | 2014-01-09 |
| 1477898815 | Ralph Norman Olsen | Pediatrics | 6267 Riesch Road, West Bend, WI 53095 | 2012-12-11 |
| 1932458536 | Joshua Aaron Barta | Dentist | 2090 Continental Drive, West Bend, WI 53095 | 2012-08-29 |
| Find all providers in zip 53095 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972951523 | Elizabeth Kremer | Physical Therapist | 1769 S Main St, West Bend, WI 53095-4937 | 2016-05-24 |
| 1205165206 | Camille A Mcgrady | Physical Therapist | 4980 Lake Dr, West Bend, WI 53095-9240 | 2009-12-22 |
| 1871822114 | Mary Ellen Evans | Physical Therapist | 5505 County Road Z, West Bend, WI 53095-9224 | 2009-12-16 |
| 1538381041 | Becky Jo Schmidt | Physical Therapist | 5595 County Rd Z, West Bend, WI 53095 | 2007-05-03 |
| 1427277813 | Todd Michael Biesterfeld | Physical Therapist | 1105 Shepherds Dr, West Bend, WI 53090-8462 | 2007-04-24 |
| 1760608376 | Elizabeth Anne Dieringer | Physical Therapist | 1110 Gateway Ct, West Bend, WI 53095-8539 | 2007-04-18 |
| 1407906936 | Michelle Lee Janke | Physical Therapist | 5505 Highway Z, West Bend, WI 53095-9224 | 2007-01-10 |
| 1710996236 | Rita J Newton | Physical Therapist | 1190 E Paradise Dr, West Bend, WI 53095-5444 | 2006-08-05 |
| 1316977630 | Pinnacle Physical Therapy LLC | Physical Therapist | 224 Butternut St, West Bend, WI 53095-4910 | 2006-07-03 |
| 1558330951 | Selena Kim Fraki-owen | Physical Therapist | 1100 Gateway Court, West Bend, WI 53095 | 2006-03-16 |
| Find all providers in WEST BEND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.