Organization
SIXFOURTHREE, LLC
Active
Other names
Tradition Physical Therapy, Fairhope Physical Therapy Services, Johnson and Hayes Physical Therapists
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SCOTT T HAYES (OWNER)
(256) 883-1970
Entity
Organization
Contact information
Practice address
4240 BALMORAL DR SW STE 100, HUNTSVILLE, AL 35801-5633
(256) 883-1970
(256) 883-8061
Mailing address
PO BOX 18863, HUNTSVILLE, AL 35804-8863
(256) 883-1970
(256) 883-1336
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
J163
MEDICARE GROUP ID
AL
01
—
K587
MEDICARE GROUP ID
AL
Enumeration date
06/20/2006
Last updated
08/10/2026
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