NICHOLAS LEE HAYWOOD
NPI 1093336323
Physical Therapist in Tuckerman, AR

Active since April 28, 2020
1502 HIGHWAY 367 S, TUCKERMAN, AR 72473(870) 808-4040(870) 277-0896 Get Directions Write a Review

NPPES record last updated: August 11, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Nicholas Lee Haywood NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICHOLAS LEE HAYWOOD (NPI 1093336323) is an individual physical therapist in Tuckerman, Arkansas, licensed in Arkansas (PT5894) and active in the NPI registry since April 2020. He is a graduate of Other (2026).

NPPES Registry Identity

NPI1093336323
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameNICHOLAS LEE HAYWOOD
Location Address1502 HIGHWAY 367 STuckerman, AR 72473-9148
Mailing Address809 Elizabeth LnJonesboro, AR 72405-9412 · (870) 598-4362
Fax(870) 277-0896
Sole ProprietorYes
Medical School CMSOtherGraduated 2026
Enumeration DateApril 28, 2020
Last NPPES UpdateAugust 11, 2026
NPPES CertifiedAugust 11, 2026
✔ NPI 1093336323 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License✔ Licensed in AR · PT5894
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
Also ListedSpecialist/Technologist · Athletic TrainerTaxonomy 2255A2300X
1502 HIGHWAY 367 S, Tuckerman, AR 72473

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicholas Lee Haywood is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID648730945
PECOS Enrollment IDI20260906000250

Medicare Billing Reassignment

Medicare enrollment records show Nicholas Haywood reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Physical Therapist
347 HWY 62 EAST, COLLEGE PLAZA
Mountain Home, AR 72653
  • Reassigned Medicare billing, Arkansas enrollment
  • 69 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapy Assistant
1502 HIGHWAY 367 S
TUCKERMAN, AR 72473
Specialist/Technologist (Athletic Trainer)
1502 HIGHWAY 367 S
TUCKERMAN, AR 72473

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nicholas Haywood's NPI number?

The NPI number for Nicholas Haywood is 1093336323. It was assigned to this individual provider in the NPPES registry on April 28, 2020.

Where is Nicholas Haywood located?

Nicholas Haywood practices at 1502 Highway 367 S, Tuckerman, AR 72473. The listed phone number is (870) 808-4040.

What is Nicholas Haywood's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Nicholas Haywood enrolled in Medicare?

Yes. Nicholas Haywood is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Nicholas Haywood's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicholas Haywood reassigns Medicare benefits to Gross Therapy Services, Inc. (Mountain Home, AR). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nicholas Haywood's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nicholas Haywood accept?

Health plans from Health Advantage and Octave list Nicholas Haywood as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Nicholas Haywood was last updated on August 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.