Provider Demographics
NPI:1356430151
Name:DAY, JOSEPH MATTHEW (MSPT)
Entity type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:MATTHEW
Last Name:DAY
Suffix:
Gender:M
Credentials:MSPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 40277
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36640-0277
Mailing Address - Country:US
Mailing Address - Phone:251-445-9378
Mailing Address - Fax:251-445-9377
Practice Address - Street 1:5721 USA DR N
Practice Address - Street 2:HAHN 2050
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36688-0002
Practice Address - Country:US
Practice Address - Phone:251-445-9378
Practice Address - Fax:251-445-9377
Is Sole Proprietor?:No
Enumeration Date:2006-10-12
Last Update Date:2015-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYPT004642225100000X
OHPT011660225100000X
ALPTH69412251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH000000356111OtherBCBS PIN NUMBER 4831
OH000000277097OtherBCBS PIN NUMBER 4817
OH000029150WOtherHUMANA PIN NUMBER
OH0108341Medicaid
OH000000190966OtherBCBS PIN NUMBER 4810
OH000000190966OtherBCBS PIN NUMBER 4810
OH0108341Medicaid