Healthcare Provider Details

I. General information

NPI: 1598896904
Provider Name (Legal Business Name): MICHAEL PATRICK HAYES PT, ATC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/08/2007
Last Update Date: 05/26/2022
Certification Date: 05/26/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

303 CHESTNUT COMMONS DR
ELYRIA OH
44035-9607
US

IV. Provider business mailing address

303 CHESTNUT COMMONS DR
ELYRIA OH
44035-9607
US

V. Phone/Fax

Practice location:
  • Phone: 440-315-9709
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code2255A2300X
TaxonomyAthletic Trainer
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: