Debra Anne Hayes, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

AT 8749 Issued in CA

Practice address

220 Greenfield Ave
San Anselmo, CA 94960-2416

Phone

(415) 457-4454

Fax

(415) 457-4944

NPI assigned

Jun 11, 2009

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1244678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244678400000",
    "number": "1932336351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 GREENFIELD AVE",
            "city": "SAN ANSELMO",
            "state": "CA",
            "postal_code": "949602416",
            "telephone_number": "415-457-4454",
            "fax_number": "415-457-4944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 GREENFIELD AVE",
            "city": "SAN ANSELMO",
            "state": "CA",
            "postal_code": "949602416",
            "telephone_number": "415-457-4454",
            "fax_number": "415-457-4944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYES",
        "first_name": "DEBRA",
        "middle_name": "ANNE",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-11",
        "last_updated": "2009-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "AT 8749",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTA LICENSE NUMBER",
            "identifier": "AT 8749",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eric V Haney, DDS, MS
• Sarah Rachel Harnsberger
• Larry Harrison, O.D.
• Derek Hart, COUNSELOR
• Natalie Ivy Harvey, MFT
• Erin Heck, D.C.
• Denise Heiden, LAC
• Heidi Keller Chiropractic, Inc.
• Martin Henderson, BS, MS, MS, DC
• Russell Eric Hendlin, MA, LMFT

• Physical Therapy Assistant in San Anselmo, CA
• Providers in San Anselmo, CA by specialty
• Physical Therapy Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 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.