Active NPI
Michael Hayden, PT
- Physical Therapist
- Athens, GA
National Provider Identifier
1952344558
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT004034
- Practice address
- 850 King Ave
Athens, GA 30606-2838 - Phone
- (706) 549-1663
- Fax
- (706) 546-8792
- NPI assigned
- Jun 13, 2006
- Last updated
- Aug 29, 2016
- Sex
- Male
- 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 | PT004034 | GA | Primary |
Addresses
Primary practice location
850 King Ave
Athens, GA 30606-2838
Mailing address
1765 Old West Broad St
BLDG 2, Ste 200
Athens, GA 30606
Phone (706) 549-1663
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT004034 | GA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1472428800000",
"number": "1952344558",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1765 OLD WEST BROAD ST",
"address_2": "BLDG 2, STE 200",
"city": "ATHENS",
"state": "GA",
"postal_code": "30606",
"telephone_number": "706-549-1663",
"fax_number": "706-546-8792"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "850 KING AVE",
"city": "ATHENS",
"state": "GA",
"postal_code": "306062838",
"telephone_number": "706-549-1663",
"fax_number": "706-546-8792"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAYDEN",
"first_name": "MICHAEL",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-13",
"last_updated": "2016-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT004034",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Athens, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 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.