Provider Demographics
NPI:1922013408
Name:HAYS S ESTES DPT PLLC
Entity Type:Organization
Organization Name:HAYS S ESTES DPT PLLC
Other - Org Name:PREMIER PHYSICAL THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HAYS
Authorized Official - Middle Name:S
Authorized Official - Last Name:ESTES
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:727-442-7500
Mailing Address - Street 1:PO BOX 5021
Mailing Address - Street 2:
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33758-5021
Mailing Address - Country:US
Mailing Address - Phone:727-442-7500
Mailing Address - Fax:
Practice Address - Street 1:1661 RAINBOW DR
Practice Address - Street 2:
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33755
Practice Address - Country:US
Practice Address - Phone:727-442-7500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-30
Last Update Date:2018-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT19898261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLAB748Medicare PIN