Thaddeus Hayes-Joshua, MS, LAT, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

6494 Issued in FL

Practice address

14100 6 Mile Cypress Pkwy
Fort Myers, FL 33912-4314

Phone

(719) 357-2570

NPI assigned

Jan 27, 2022

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1643241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643241600000",
    "number": "1699428011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14110 SIX MILE CYPRESS PKWY",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339124314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14100 6 MILE CYPRESS PKWY",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339124314",
            "telephone_number": "719-357-2570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYES-JOSHUA",
        "first_name": "THADDEUS",
        "credential": "MS, LAT, ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-01-27",
        "last_updated": "2022-01-27",
        "certification_date": "2022-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "FL",
            "license": "6494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Haven Health Therapy LLC
• Robert M Hawkes, PA-C
• Stephanie Hawks, MD
• Jeniffer Barbara Hawley, MSW
• Mari C Hawley, LMT
• Caitlyn Hayes
• Shanell Hayes, RBT
• Tatum Hayes
• Valencia Hayes, PA
• Vicki L Hayes, ARNP-C

• Athletic Trainer in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Athletic Trainer in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2022; 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.