Individual provider Active NPI

David Thomas Hayes, PHYSICAL THERAPIST

  • Orthopedic Physical Therapist
  • Laguna Hills, CA
National Provider Identifier
1962747568
Registry record updated Dec 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
PT 10854 Issued in CA
Practice address
22995 Mill Creek Dr
Suite a
Laguna Hills, CA 92653-1215
Phone
(949) 707-5555
Fax
(949) 707-5706
NPI assigned
Dec 7, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 7, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X PT 10854 CA Primary

Addresses

Primary practice location

22995 Mill Creek Dr
Suite a
Laguna Hills, CA 92653-1215

Mailing address

22995 Mill Creek Dr
Suite a
Laguna Hills, CA 92653-1215
Phone (949) 707-5555

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PT 10854CAMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rehab Alliance Orthopedic PastSince Jan 1, 2002 Accepting new patients
Sand Coast Rehab Physical Therapy Inc Orthopedic PastSince Mar 1, 2020 Accepting new patients

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": "1354838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354838400000",
    "number": "1962747568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22995 MILL CREEK DR",
            "address_2": "SUITE A",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926531215",
            "telephone_number": "949-707-5555",
            "fax_number": "949-707-5706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22995 MILL CREEK DR",
            "address_2": "SUITE A",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926531215",
            "telephone_number": "949-707-5555",
            "fax_number": "949-707-5706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYES",
        "first_name": "DAVID",
        "middle_name": "THOMAS",
        "name_prefix": "Mr.",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-12-07",
        "last_updated": "2012-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "PT 10854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2012; 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.