Healthcare Provider Details

I. General information

NPI: 1164824017
Provider Name (Legal Business Name): MICHAEL HAYES PT, DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/23/2014
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10921 S WESTERN AVE STE 200
OKLAHOMA CITY OK
73170-6228
US

IV. Provider business mailing address

10921 S WESTERN AVE STE 200
OKLAHOMA CITY OK
73170-6228
US

V. Phone/Fax

Practice location:
  • Phone: 405-676-5606
  • Fax: 405-676-5374
Mailing address:
  • Phone: 405-676-5606
  • Fax: 405-676-5374

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number5033
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: