Provider Demographics
NPI:1861376865
Name:HAYES, SKYLAR BRADY (OTD, OTR/L)
Entity type:Individual
Prefix:
First Name:SKYLAR
Middle Name:BRADY
Last Name:HAYES
Suffix:
Gender:F
Credentials:OTD, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:356 WOODLAND SHORES RD
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29412-2423
Mailing Address - Country:US
Mailing Address - Phone:843-540-4238
Mailing Address - Fax:
Practice Address - Street 1:211 WOOD THRUSH WAY
Practice Address - Street 2:
Practice Address - City:SUMMERVILLE
Practice Address - State:SC
Practice Address - Zip Code:29486-5335
Practice Address - Country:US
Practice Address - Phone:316-258-7196
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-04
Last Update Date:2025-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC7675225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics