Healthcare Provider Details

I. General information

NPI: 1528955465
Provider Name (Legal Business Name): NICHOLAS KURFIS HAYWARD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/23/2025
Last Update Date: 06/23/2025
Certification Date: 06/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1500 MEDICAL CENTER DR
NASHVILLE TN
37232-0016
US

IV. Provider business mailing address

3831 W END AVE APT 22
NASHVILLE TN
37205-2446
US

V. Phone/Fax

Practice location:
  • Phone: 615-322-4751
  • Fax:
Mailing address:
  • Phone: 419-343-3436
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License NumberPTA013230
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License NumberPTA0000008207
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: