Brandon C Hayes, PTA, CPT, NASM

Primary specialty

SpecialistTaxonomy code 174400000X

License

PA1387 Issued in ME

Practice address

1 Westbrook CMN
Suite 2
Westbrook, ME 04092-2804

Phone

(207) 854-1239

Fax

(207) 854-1230

NPI assigned

Oct 2, 2009

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Southern Maine Physical Therapy, PA

  • Specialist
  • South Portland, ME
  • NPI 1154536472
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1254441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254441600000",
    "number": "1346575784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 310",
            "city": "WESTBROOK",
            "state": "ME",
            "postal_code": "040980310",
            "telephone_number": "207-854-1239",
            "fax_number": "207-854-1230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 WESTBROOK CMN",
            "address_2": "SUITE 2",
            "city": "WESTBROOK",
            "state": "ME",
            "postal_code": "040922804",
            "telephone_number": "207-854-1239",
            "fax_number": "207-854-1230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYES",
        "first_name": "BRANDON",
        "middle_name": "C",
        "name_prefix": "Mr.",
        "credential": "PTA, CPT, NASM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-10-02",
        "last_updated": "2009-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "ME",
            "license": "PA1387",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2616600099",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chelsea Catherine Hardy, RD
• Diane M Harris, L.C.S.W
• Lillian Harris
• Kelly Rae Hatt, FNP-BC
• Jennifer L Haverkamp, OD
• Kristin J Hayes, LSW
• Stephen R Hayes, M.D.
• Julia A. Healey, LCPC
• Heed Residential and Community Services LLC
• Scott Allan Heider, MSW, LCSW

• Specialist in Westbrook, ME
• Providers in Westbrook, ME by specialty
• Specialist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.