Hayley Gillen Salem, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

3125264 Issued in TX

Practice address

1308 N Bedell Ave
Del Rio, TX 78840-7818

Phone

(830) 774-1556

NPI assigned

Jun 2, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Hayley Rae Gillen Other name

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pinnacle Physical Therapy and Personal Training, LLCGroup PAC ID 2860789245, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Pinnacle Physical Therapy & Personal Training, LLC

  • Physical Therapist
  • Columbia, SC
  • NPI 1710430657
  Medicare reassignment Care Compare group NPD
• Ideal Rehabilitation LLC

  • Durable Medical Equipment & Medical Supplies
  • Tucson, AZ
  • NPI 1831353614
  NPD (past)

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

{
    "created_epoch": "1591056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648166400000",
    "number": "1033733357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9116A BROWN ST",
            "city": "DEL RIO",
            "state": "TX",
            "postal_code": "788402702",
            "telephone_number": "910-574-8909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1308 N BEDELL AVE",
            "city": "DEL RIO",
            "state": "TX",
            "postal_code": "788407818",
            "telephone_number": "830-774-1556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALEM",
        "first_name": "HAYLEY",
        "middle_name": "GILLEN",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-02",
        "last_updated": "2022-03-25",
        "certification_date": "2022-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "3125264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HAYLEY",
            "last_name": "GILLEN",
            "middle_name": "RAE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Rebecca Elizabeth Ruthenbeck, PT
• John D Sagace II
• Sage Psychotherapy, PLLC
• Mostafa M Salama, MD
• Selina Salas
• San Felipe del Rio Cisd
• Sylvia Sanchez
• Prasada Venkata Sanku Lakshmi, D.D.S
• Sandra Y Seca, LPC
• Shamoon Doctor, MD PA

• Physical Therapist in Del Rio, TX
• Providers in Del Rio, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.