Healthcare Provider Details

I. General information

NPI: 1154490332
Provider Name (Legal Business Name): MARGARET HAYES I PT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/06/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

38 S ETNA AVE
MONTAUK NY
11954-5347
US

IV. Provider business mailing address

10 DITCH PLAINS RD
MONTAUK NY
11954-5200
US

V. Phone/Fax

Practice location:
  • Phone: 631-668-4317
  • Fax: 631-668-4883
Mailing address:
  • Phone: 631-668-4317
  • Fax: 631-668-4883

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number021926-1
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number004885-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: