Provider Demographics
NPI:1861563694
Name:DAYTON, ROBERT E (PT,CFMT)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:E
Last Name:DAYTON
Suffix:
Gender:M
Credentials:PT,CFMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 OUTPOST LN
Mailing Address - Street 2:
Mailing Address - City:HILTON HEAD ISLAND
Mailing Address - State:SC
Mailing Address - Zip Code:29928-3802
Mailing Address - Country:US
Mailing Address - Phone:631-355-2120
Mailing Address - Fax:843-686-4000
Practice Address - Street 1:2 MATHEWS CT STE D
Practice Address - Street 2:
Practice Address - City:HILTON HEAD ISLAND
Practice Address - State:SC
Practice Address - Zip Code:29926-3799
Practice Address - Country:US
Practice Address - Phone:631-355-2120
Practice Address - Fax:843-686-4000
Is Sole Proprietor?:No
Enumeration Date:2006-11-13
Last Update Date:2013-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY014253-12251X0800X
SC48562251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYQ04U41Medicare ID - Type UnspecifiedPROVIDER ID
NYQ3WKJ1Medicare PIN
SCQ35096Medicare PIN