Individual provider Active NPI

Hailey Jaye Pullman

  • Physical Therapist
  • Rapid City, SD
National Provider Identifier
1013849330
Registry record updated Jun 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
6266 Issued in SD
Practice address
420 E Saint Patrick St Ste 101
Rapid City, SD 57701-4200
Phone
(605) 484-9019
NPI assigned
Jun 1, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 6266 SD Primary

Addresses

Primary practice location

420 E Saint Patrick St Ste 101
Rapid City, SD 57701-4200

Mailing address

420 E Saint Patrick St Ste 101
Rapid City, SD 57701-4200
Phone (605) 484-9019

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2026
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

420 E Saint Patrick St
Suite 101
Rapid City, SD 57701-4200

700 W 5TH St
Clare, MI 48617-9414

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6266SDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Elevate Performance Physical Therapist CurrentSince Jun 1, 2026 Accepting new patients

Locations

420 E Saint Patrick St
Ste 101
Rapid City, SD 57701
Phone (605) 484-9019

Organizations & group practices 1

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": "1780272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780272000000",
    "number": "1013849330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 E SAINT PATRICK ST STE 101",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577014200",
            "telephone_number": "605-484-9019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 E SAINT PATRICK ST STE 101",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577014200",
            "telephone_number": "605-484-9019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PULLMAN",
        "first_name": "HAILEY",
        "middle_name": "JAYE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-06-01",
        "last_updated": "2026-06-01",
        "certification_date": "2026-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SD",
            "license": "6266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rapid City, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.