MEDICARE: JANET MARIE HAYWARD PT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	PT-005185	OH
2	225100000X	Physical Therapist	CP033478T	WI
3	225100000X	Physical Therapist	PT005185	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1448151	OTHER	OH	BWC

General Provider Information

NPI Number	:	1669571576
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JANET MARIE HAYWARD PT

Provider Business Mailing Address
First Line	:	3119 E OVERLOOK RD
Second Line	:
City	:	CLEVELAND HEIGHTS
State	:	OH
Zip	:	44118-2439
Country	:	US
Telephone Number	:	216-956-9914
Fax Number	:

Provider Business Practice Location Address
First Line	:	3119 E OVERLOOK RD
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44118-2439
Country	:	US
Telephone Number	:	216-956-9914
Fax Number	:	216-371-4986

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/21/2006
Last Update Date	:	10/25/2024

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