Provider Demographics
NPI:1528955465
Name:HAYWARD, NICHOLAS KURFIS
Entity type:Individual
Prefix:
First Name:NICHOLAS
Middle Name:KURFIS
Last Name:HAYWARD
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3831 W END AVE APT 22
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37205-2446
Mailing Address - Country:US
Mailing Address - Phone:419-343-3436
Mailing Address - Fax:
Practice Address - Street 1:1500 MEDICAL CENTER DR
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37232-0016
Practice Address - Country:US
Practice Address - Phone:615-322-4751
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-23
Last Update Date:2025-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPTA013230225200000X
TNPTA0000008207225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant