Individual provider Active NPI

Marvin Donnie Hayag, PT

  • Orthopedic Physical Therapist
  • South Miami, FL
National Provider Identifier
1952641565
Registry record updated Aug 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
PT27501 Issued in FL
Practice address
5900 SW 73Rd St Ste 104
South Miami, FL 33143-5149
Phone
(305) 446-6899
NPI assigned
Feb 19, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 14132 NC
Orthopedic Physical Therapist 2251X0800X PT27501 FL Primary

Addresses

Primary practice location

5900 SW 73Rd St Ste 104
South Miami, FL 33143-5149

Mailing address

7270 N Kendall Dr Apt B501
Miami, FL 33156-7810
Phone (347) 387-5859

Other practice location 1

308 Brynn Marr Rd
Jacksonville, NC 28546-7023
Phone (910) 478-9701

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

LicenseStateTypeSpecialty
14132NCMDProfessional Counselor
PT27501FLMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Improving Lives Community Mental Health Center, Inc PastSince Jun 6, 2021 Accepting new patients
Professional Physical Therapy & Rehabilitation, LLC PastSince Oct 7, 2013 Accepting new patients
Activcare Physical Therapy, LLC Physical Therapist Past Accepting new patients

Organizations & group practices 3

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": "1361232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598313600000",
    "number": "1952641565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7270 N KENDALL DR APT B501",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331567810",
            "telephone_number": "347-387-5859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5900 SW 73RD ST STE 104",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331435149",
            "telephone_number": "305-446-6899"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "308 Brynn Marr Rd",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "NC",
            "postal_code": "285467023",
            "country_code": "US",
            "telephone_number": "910-478-9701",
            "fax_number": "910-478-9703",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAYAG",
        "first_name": "MARVIN",
        "middle_name": "DONNIE",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-02-19",
        "last_updated": "2020-08-25",
        "certification_date": "2020-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "14132",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "FL",
            "license": "PT27501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2020; 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.