Individual provider Active NPI

Haley Williams Stevenson, PT, DPT

  • Physical Therapist
  • Starkville, MS
National Provider Identifier
1013475607
Registry record updated Aug 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
9559 Issued in SC
Practice address
513 Academy Rd
Starkville, MS 39759-4021
Phone
(662) 268-8013
Fax
(662) 268-8095
NPI assigned
Mar 4, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 1, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 18608 NC
Physical Therapist 225100000X PT7070 MS
Physical Therapist 225100000X 9559 SC Primary

Addresses

Primary practice location

513 Academy Rd
Starkville, MS 39759-4021

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909

Other practice location 1

333 S Pine St
Spartanburg, SC 29302-2622
Phone (864) 515-7580

Other names 1

  • Haley Evely Williams Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190627000667 SC Practitioner - Physical Therapist in Private Practice 7517291347 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9559SCMDGeneral Practice Dentistry
18608NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Drayer Physical Therapy - South Carolina, LLC Physical Therapist CurrentSince Jul 31, 2024 Accepting new patients
Benchmark Health Services Physical Therapist CurrentSince Jul 31, 2024 Accepting new patients
Agilitas USA, Inc Physical Therapist CurrentSince Jul 31, 2024 Accepting new patients
Drayer Physical Therapy-South Carolina, LLC Physical Therapist CurrentSince Jul 31, 2024 Accepting new patients
Benchmark Healthcare Services, LLC Physical Therapist CurrentSince Jul 31, 2024 Accepting new patients
Agilitas USA Inc Physical Therapist CurrentSince Jul 31, 2024 Accepting new patients
Drayer Physical Therapy Mississippi LLC Physical Therapist Past Accepting new patients
Prisma Health University Medical Group Past Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

3250 Harden Street Ext
Ste 100
Columbia, SC 29203
Phone (803) 509-6389

1000 Tanner Ford Blvd
Ste 370
Hanahan, SC 29410
Phone (843) 718-1058

7585 Saint Andrews Rd
Irmo, SC 29063
Phone (803) 749-5031

3032 W Montague Ave
Ste 101
North Charleston, SC 29418
Phone (843) 885-8772

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1551657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722470400000",
    "number": "1013475607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "513 ACADEMY RD",
            "city": "STARKVILLE",
            "state": "MS",
            "postal_code": "397594021",
            "telephone_number": "662-268-8013",
            "fax_number": "662-268-8095"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "333 S Pine St",
            "address_purpose": "LOCATION",
            "city": "Spartanburg",
            "state": "SC",
            "postal_code": "293022622",
            "country_code": "US",
            "telephone_number": "864-515-7580",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEVENSON",
        "first_name": "HALEY",
        "middle_name": "WILLIAMS",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-04",
        "last_updated": "2024-08-01",
        "certification_date": "2024-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "18608",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MS",
            "license": "PT7070",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "9559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HALEY",
            "last_name": "WILLIAMS",
            "middle_name": "EVELY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Starkville, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.