Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kordae Jewell Ann Hayden

Individual provider Athletic Trainer · NPI 1356816128

Kordae Jewell Ann Hayden is a Physical Therapist in Private Practice in Watford City, North Dakota. Qualified in 2022, 4 years ago. Practices with Homestead Physical Therapy PLLC, a 2-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in North Dakota.

Years since qualifying
4
Licensed in
ND
In the registry since
2018
Specialties on file
2

Practice location Address checks out

105 9th Ave SE Ste 2
Watford City, ND 58854
Phone: (701) 842-4424
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 12048 Highway 23, Watford City, ND 58854-9547 — (701) 580-1267

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X (ND)
Athletic Trainer Taxonomy 2255A2300X (ND)

Record details

NPI number1356816128
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 9, 2018
Last updated in NPPESMarch 3, 2023
Certification dateMarch 1, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Homestead Physical Therapy Pllc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Watford City