Individual provider Active NPI

Joseph G Hayes, DPT

  • Orthopedic Physical Therapist
  • Commack, NY
National Provider Identifier
1467544924
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
012547 Issued in NY
Practice address
6268 Jericho Tpke
Suite 3
Commack, NY 11725-2810
Phone
(631) 543-9300
Fax
(631) 462-1166
NPI assigned
Sep 29, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 012547 NY Primary

Addresses

Primary practice location

6268 Jericho Tpke
Suite 3
Commack, NY 11725-2810

Mailing address

6268 Jericho Tpke
Suite 3
Commack, NY 11725-2810
Phone (631) 543-9300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041029000021 NY Practitioner - Physical Therapist in Private Practice 0244292522 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1991
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

6268 Jericho Tpke
Suite 3
Commack, NY 11725-2810
Phone (631) 543-9300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Physical Therapy, P.C. Orthopedic CurrentSince Nov 19, 2012 Accepting new patients

Locations

6268 Jericho Tpke
Ste 3
Commack, NY 11725
Phone (631) 543-9300

6268 Jericho Tpke
Ste 34
Commack, NY 11725
Phone (631) 543-9300

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467544924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6268 JERICHO TPKE",
            "address_2": "SUITE 3",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117252810",
            "telephone_number": "631-543-9300",
            "fax_number": "631-462-1166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6268 JERICHO TPKE",
            "address_2": "SUITE 3",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117252810",
            "telephone_number": "631-543-9300",
            "fax_number": "631-462-1166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYES",
        "first_name": "JOSEPH",
        "middle_name": "G",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NY",
            "license": "012547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Commack, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.