Provider Demographics
NPI:1538349667
Name:HAYES, MATTHEW S (PT)
Entity type:Individual
Prefix:
First Name:MATTHEW
Middle Name:S
Last Name:HAYES
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 WATER ST STE 201
Mailing Address - Street 2:
Mailing Address - City:MASSENA
Mailing Address - State:NY
Mailing Address - Zip Code:13662-2190
Mailing Address - Country:US
Mailing Address - Phone:315-603-0339
Mailing Address - Fax:
Practice Address - Street 1:2 WATER ST STE 201
Practice Address - Street 2:
Practice Address - City:MASSENA
Practice Address - State:NY
Practice Address - Zip Code:13662-2190
Practice Address - Country:US
Practice Address - Phone:315-603-0339
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-11-06
Last Update Date:2025-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY020157-1225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist