Individual provider Active NPI

Wylie Hayes

  • Physical Therapist
  • Montgomery, AL
National Provider Identifier
1477108751
Registry record updated Aug 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTH9501 Issued in AL
Practice address
7061 Halcyon Summit Dr
Montgomery, AL 36117-6927
Phone
(334) 396-2110
NPI assigned
Aug 5, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PTH9501 AL Primary

Addresses

Primary practice location

7061 Halcyon Summit Dr
Montgomery, AL 36117-6927

Mailing address

1100 Circle 75 Pkwy SE Ste 1400
Atlanta, GA 30339-3067
Phone (678) 981-3543

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190917000569 AL Practitioner - Physical Therapist in Private Practice 9234468265 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Total Rehab, IncGroup PAC ID 2961796495, 6 clinicians

Practice addresses (Care Compare)

2515 E Glenn Ave
Suite 104
Auburn, AL 36830-6448
Phone (334) 821-2256

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PTH9501ALMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Total Rehab, Inc Physical Therapist CurrentSince Dec 29, 2024 Accepting new patients
Total Rehab Solutions LLC Physical Therapist PastSince Aug 1, 2019 Accepting new patients

Locations

2515 E Glenn Ave
Ste 104
Auburn, AL 36830
Phone (334) 821-2256

Organizations & group practices 2

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": "1564963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564963200000",
    "number": "1477108751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 CIRCLE 75 PKWY SE STE 1400",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303393067",
            "telephone_number": "678-981-3543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7061 HALCYON SUMMIT DR",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361176927",
            "telephone_number": "334-396-2110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYES",
        "first_name": "WYLIE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-05",
        "last_updated": "2019-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH9501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2019; 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.