Active NPI
Hayley Hugg, PT,DPT
- Physical Therapist
- Minot, ND
National Provider Identifier
1104491018
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2472
- Practice address
- 3515 16TH St SW
Minot, ND 58701 - Phone
- (701) 838-1080
- Fax
- (701) 838-1630
- NPI assigned
- May 24, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2472 | ND | Primary |
Addresses
Primary practice location
3515 16TH St SW
Minot, ND 58701
Mailing address
3515 16TH St SW
Minot, ND 58701
Phone (701) 838-1080
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1482606 | Medicaid | ND |
Other names 1
- Hayley Carlson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2472 | ND | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prairie Grit Adaptive Sports | Current | Accepting new patients | |
| Red Door Pediatric Therapy, Inc | Physical Therapist | Past | Accepting new patients |
Locations
3515 16th St SW
Minot, ND 58701
Phone (701) 838-1080
Organizations & group practices 2
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.
-
- Clinic/Center
- Minot, ND
- NPI 1417577693
-
- Speech-Language Pathologist
- Bismarck, ND
- NPI 1639257033
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621814400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723161600000",
"number": "1104491018",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3515 16TH ST SW",
"city": "MINOT",
"state": "ND",
"postal_code": "58701",
"telephone_number": "701-838-1080",
"fax_number": "701-838-1630"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3515 16TH ST SW",
"city": "MINOT",
"state": "ND",
"postal_code": "58701",
"telephone_number": "701-838-1080",
"fax_number": "701-838-1630"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUGG",
"first_name": "HAYLEY",
"name_prefix": "Mrs.",
"credential": "PT,DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-05-24",
"last_updated": "2024-08-09",
"certification_date": "2023-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "ND",
"license": "2472",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1482606",
"state": "ND"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "HAYLEY",
"last_name": "CARLSON",
"credential": "PT,DPT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Minot, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 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.