Provider Demographics
NPI:1669571576
Name:HAYWARD, JANET MARIE (PT)
Entity type:Individual
Prefix:
First Name:JANET
Middle Name:MARIE
Last Name:HAYWARD
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3119 E OVERLOOK RD
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44118-2439
Mailing Address - Country:US
Mailing Address - Phone:216-956-9914
Mailing Address - Fax:
Practice Address - Street 1:3119 E OVERLOOK RD
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44118-2439
Practice Address - Country:US
Practice Address - Phone:216-956-9914
Practice Address - Fax:216-371-4986
Is Sole Proprietor?:No
Enumeration Date:2006-09-21
Last Update Date:2024-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPT-005185174400000X
WICP033478T225100000X
OHPT005185225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH1448151OtherBWC