Haley Hodge

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT25579 Issued in FL

Practice address

1634 Saladino St SE
Palm Bay, FL 32909-5425

Phone

(833) 684-5439

Fax

(321) 286-3020

NPI assigned

Sep 23, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Miss Haley Borneman Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1411430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725494400000",
    "number": "1043612955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4819 CHASTAIN DR",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329401277",
            "telephone_number": "321-298-9775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1634 SALADINO ST SE",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329095425",
            "telephone_number": "833-684-5439",
            "fax_number": "321-286-3020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4819 Chastain Dr",
            "address_purpose": "LOCATION",
            "city": "Melbourne",
            "state": "FL",
            "postal_code": "329401277",
            "country_code": "US",
            "telephone_number": "321-298-9775",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HODGE",
        "first_name": "HALEY",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-23",
        "last_updated": "2024-09-05",
        "certification_date": "2024-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT25579",
            "primary": true
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "FL",
            "license": "OTA 11471",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HALEY",
            "last_name": "BORNEMAN",
            "prefix": "MISS",
            "credential": "MOT, OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mijorica Ann Hills
• Stefanie Ann Hills
• Jade Nicole Hinton
• Carolyn Hix, LMHC
• Gregory B Hoang, MD
• Stephanie Ann Hoenig
• Charles Richard Hoffhine III, P.T.
• Holiday CVS LLC
• Holiday CVS LLC
• Holiday CVS LLC

• Occupational Therapist in Palm Bay, FL
• Providers in Palm Bay, FL by specialty
• Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.