1770602534 NPI number — MS. JOYCE ROSE HAYES PHYSICAL THERAPIST

Table of content: MS. JOYCE ROSE HAYES PHYSICAL THERAPIST (NPI 1770602534)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1770602534 NPI number — MS. JOYCE ROSE HAYES PHYSICAL THERAPIST

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HAYES
Provider First Name:
JOYCE
Provider Middle Name:
ROSE
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
PHYSICAL THERAPIST
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
RALSTON
Provider Other First Name:
JOYCE
Provider Other Middle Name:
ROSE
Provider Other Name Prefix Text:
MRS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
PHYSICAL THERAPIST
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1770602534
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3832 TAYLORSVILLE RD
Provider Second Line Business Mailing Address:
STE 7
Provider Business Mailing Address City Name:
LOUISVILLE
Provider Business Mailing Address State Name:
KY
Provider Business Mailing Address Postal Code:
40220
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
502-458-3438
Provider Business Mailing Address Fax Number:
502-458-3662

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3832 TAYLORSVILLE RD
Provider Second Line Business Practice Location Address:
STE 7
Provider Business Practice Location Address City Name:
LOUISVILLE
Provider Business Practice Location Address State Name:
KY
Provider Business Practice Location Address Postal Code:
40220
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
502-458-3438
Provider Business Practice Location Address Fax Number:
502-458-3662
Provider Enumeration Date:
03/29/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 225100000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: K0011723 . This is a "TRICARE" identifier , issued by the state of ( KY ) . This identifiers is of the category "OTHER".
  • Identifier: 50182 . This is a "ANTHEM BCBS" identifier . This identifiers is of the category "OTHER".




Copyright © 2007-2025 www.npivalidator.com