Provider Demographics
NPI:1144083015
Name:HAYES, RICHARD TYLER (PT, DPT)
Entity type:Individual
Prefix:
First Name:RICHARD
Middle Name:TYLER
Last Name:HAYES
Suffix:
Gender:M
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1712 SIDNEY ST
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15203-1716
Mailing Address - Country:US
Mailing Address - Phone:571-224-3749
Mailing Address - Fax:
Practice Address - Street 1:4490 MOUNT ROYAL BLVD STE 2100
Practice Address - Street 2:
Practice Address - City:ALLISON PARK
Practice Address - State:PA
Practice Address - Zip Code:15101-2684
Practice Address - Country:US
Practice Address - Phone:412-487-4710
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-02
Last Update Date:2024-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT032049225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist