Individual provider Active NPI

Rachel Elizabeth Hajda, PT, DPT

  • Physical Therapist
  • Henderson, NV
National Provider Identifier
1124451851
Registry record updated Aug 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2864 Issued in NV
Practice address
2779 W Horizon Ridge Pkwy
#10
Henderson, NV 89052-4184
Phone
(702) 897-1222
NPI assigned
Aug 16, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2013

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 2864 NV Primary

Addresses

Primary practice location

2779 W Horizon Ridge Pkwy
#10
Henderson, NV 89052-4184

Mailing address

855 N Stephanie St
Unit 2713
Henderson, NV 89014-3080
Phone (210) 414-7261

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
2864NVMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Executive Fitness Inc Physical Therapist Past Accepting new patients

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": "1376611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376611200000",
    "number": "1124451851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "855 N STEPHANIE ST",
            "address_2": "UNIT 2713",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890143080",
            "telephone_number": "210-414-7261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2779 W HORIZON RIDGE PKWY",
            "address_2": "#10",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890524184",
            "telephone_number": "702-897-1222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAJDA",
        "first_name": "RACHEL",
        "middle_name": "ELIZABETH",
        "name_prefix": "Miss",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-16",
        "last_updated": "2013-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NV",
            "license": "2864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2013; 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.