Active NPI
Hayley Autumn Hood, OT
- Occupational Therapist
- Murphysboro, IL
National Provider Identifier
1154416576
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- Practice address
- 6 East Shawnee
Murphysboro, IL 62966 - Phone
- (618) 684-8018
- NPI assigned
- Oct 3, 2006
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | IL | Primary |
Addresses
Primary practice location
6 East Shawnee
Murphysboro, IL 62966
Mailing address
109 Jeremy Drive
Carterville, IL 62918
Phone (618) 985-6520
Other names 1
- Ms. Hayley Autumn Bridges
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 |
|---|---|---|---|
| 056.007797 | IL | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1154416576",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "109 JEREMY DRIVE",
"city": "CARTERVILLE",
"state": "IL",
"postal_code": "62918",
"telephone_number": "618-985-6520"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6 EAST SHAWNEE",
"city": "MURPHYSBORO",
"state": "IL",
"postal_code": "62966",
"telephone_number": "618-684-8018"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOOD",
"first_name": "HAYLEY",
"middle_name": "AUTUMN",
"name_prefix": "Mrs.",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "HAYLEY",
"last_name": "BRIDGES",
"middle_name": "AUTUMN",
"prefix": "MS.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Murphysboro, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.