Individual provider Active NPI

Haley Marie Gregory, PT

  • Physical Therapist
  • Hermitage, TN
National Provider Identifier
1194310599
Registry record updated Nov 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
15367 Issued in TN
Practice address
302 Old Lebanon Dirt Rd Ste 100
Hermitage, TN 37076-2390
Phone
(615) 391-4545
Fax
(615) 391-4546
NPI assigned
Mar 8, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2024

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 15367 TN Primary

Addresses

Primary practice location

302 Old Lebanon Dirt Rd Ste 100
Hermitage, TN 37076-2390

Mailing address

302 Old Lebanon Dirt Rd
Hermitage, TN 37076-2386
Phone (615) 391-4545

Other practice location 1

5431 Patrick Way Ste 101
Birmingham, AL 35235-3511
Phone (205) 508-2277

Other practice location 2

3500 N Mount Juliet Rd Ste 205
MT Juliet, TN 37122-3018
Phone (615) 391-4545

Other practice location 3

1018 W Main St
Lebanon, TN 37087-3656
Phone (615) 391-4545

Other names 1

  • Haley Marie Stuver Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, TN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210406001349 AL Practitioner - Physical Therapist in Private Practice 2961819131 Reassigns benefits to 1 organization
I20240201000134 TN Practitioner - Physical Therapist in Private Practice 2961819131 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ati Holdings of Alabama, LLC Physical Therapist CurrentSince Mar 8, 2021 Accepting new patients
Nashville Bone and Joint PLLC CurrentSince Mar 1, 2024 Accepting new patients

Locations

5431 Patrick Way
Ste 101
Birmingham, AL 35235
Phone (205) 508-2277

1877 Cherokee Ave SW
Cullman, AL 35055
Phone (256) 727-1701

323 Fieldstown Rd
Ste 105
Gardendale, AL 35071
Phone (205) 607-3217

550 Fieldstown Rd
Gardendale, AL 35071
Phone (205) 418-1482

790 Remington Blvd
Bolingbrook, IL 60440

302 Old Lebanon Dirt Rd
Ste 200
Hermitage, TN 37076
Phone (615) 467-4633

302 Old Lebanon Dirt Rd
Ste 100
Hermitage, TN 37076

1018 W Main St
Lebanon, TN 37087
Phone (615) 466-5200

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.

NPI Registry JSON

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

{
    "created_epoch": "1615161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732665600000",
    "number": "1194310599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 OLD LEBANON DIRT RD",
            "city": "HERMITAGE",
            "state": "TN",
            "postal_code": "370762386",
            "telephone_number": "615-391-4545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 OLD LEBANON DIRT RD STE 100",
            "city": "HERMITAGE",
            "state": "TN",
            "postal_code": "370762390",
            "telephone_number": "615-391-4545",
            "fax_number": "615-391-4546"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5431 Patrick Way Ste 101",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352353511",
            "country_code": "US",
            "telephone_number": "205-508-2277",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3500 N Mount Juliet Rd Ste 205",
            "address_purpose": "LOCATION",
            "city": "MT Juliet",
            "state": "TN",
            "postal_code": "371223018",
            "country_code": "US",
            "telephone_number": "615-391-4545",
            "fax_number": "615-391-4546",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1018 W Main St",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "TN",
            "postal_code": "370873656",
            "country_code": "US",
            "telephone_number": "615-391-4545",
            "fax_number": "615-391-4546",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREGORY",
        "first_name": "HALEY",
        "middle_name": "MARIE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-08",
        "last_updated": "2024-11-27",
        "certification_date": "2024-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "15367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HALEY",
            "last_name": "STUVER",
            "middle_name": "MARIE",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hermitage, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.