Active NPI
Kelsey Morgan Hayes, PT
- Physical Therapist
- Liverpool, NY
National Provider Identifier
1457583296
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 031609-1
- Practice address
- 3 Ethel CT
Liverpool, NY 13090-3422 - Phone
- (315) 935-9631
- NPI assigned
- Aug 12, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 031609-1 | NY | Primary |
Addresses
Primary practice location
3 Ethel CT
Liverpool, NY 13090-3422
Mailing address
3 Ethel CT
Liverpool, NY 13090-3422
Phone (315) 935-9631
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01815443 | Medicaid | NY | |
| 00313539 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 031609-1 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1250035200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1475452800000",
"number": "1457583296",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 ETHEL CT",
"city": "LIVERPOOL",
"state": "NY",
"postal_code": "130903422",
"telephone_number": "315-935-9631"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 ETHEL CT",
"city": "LIVERPOOL",
"state": "NY",
"postal_code": "130903422",
"telephone_number": "315-935-9631"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAYES",
"first_name": "KELSEY",
"middle_name": "MORGAN",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-08-12",
"last_updated": "2016-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "031609-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01815443",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00313539",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Liverpool, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.