Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kirk Jacquine Hayes, ATCMPTCERTMDT

Individual provider Physical Therapist · NPI 1639233109

Kirk Jacquine Hayes, ATCMPTCERTMDT is a Physical Therapist in Private Practice in Grand Forks, North Dakota. Qualified in 1998, 28 years ago. Practices with Rehabauthority LLC, a 48-clinician group and accepts Medicare assignment. Licensed in Minnesota and North Dakota.

Years since qualifying
28
Licensed in
MN, ND
In the registry since
2006
Specialties on file
2

Practice location Address checks out

1000 S Columbia Rd
Grand Forks, ND 58201-4036
Phone: (701) 780-6000
Fax: (701) 780-5345
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 1139 (ND)
Physical Therapist Taxonomy 225100000X · Licence 6391 (MN)

Record details

NPI number1639233109
Entity typeIndividual (Type 1)
GenderMale
Credentials ATCMPTCERTMDT
Sole proprietorNo
NPI enumeratedDecember 20, 2006
Last updated in NPPESJune 3, 2013

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Group practice Rehabauthority Llc — 48 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Grand Forks