Provider Demographics
NPI:1215999289
Name:HAYES, ERIN RENEE (MPT)
Entity type:Individual
Prefix:MS
First Name:ERIN
Middle Name:RENEE
Last Name:HAYES
Suffix:
Gender:F
Credentials:MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:711 BINGHAM ST
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15203-1007
Mailing Address - Country:US
Mailing Address - Phone:412-995-5000
Mailing Address - Fax:412-995-5044
Practice Address - Street 1:711 BINGHAM ST
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15203-1007
Practice Address - Country:US
Practice Address - Phone:412-995-5000
Practice Address - Fax:412-995-5044
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-05
Last Update Date:2017-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT016453225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1012511150001Medicaid
PAQ61756Medicare UPIN
PA1012511150001Medicaid