Provider Demographics
NPI:1326335696
Name:HAYES, JAVON (DPT)
Entity Type:Individual
Prefix:
First Name:JAVON
Middle Name:
Last Name:HAYES
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
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Mailing Address - Street 1:335 ROSELANE ST NW
Mailing Address - Street 2:SUITE 201
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30060-7902
Mailing Address - Country:US
Mailing Address - Phone:470-259-5226
Mailing Address - Fax:267-321-2044
Practice Address - Street 1:800 W ARBROOK BLVD
Practice Address - Street 2:SUITE 200
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76015-4327
Practice Address - Country:US
Practice Address - Phone:817-472-2200
Practice Address - Fax:817-467-9021
Is Sole Proprietor?:No
Enumeration Date:2011-07-07
Last Update Date:2015-12-14
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
LA08109225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX456006Medicare PIN
TX456008ZR2BMedicare PIN