Active NPI
Hayley M Davis, PT
- Pediatric Physical Therapist
- Albuquerque, NM
National Provider Identifier
1205261716
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- 4372
- Practice address
- 5006 Copper Ave NE
Albuquerque, NM 87108-1301 - Phone
- (505) 268-7988
- Fax
- (505) 268-8021
- NPI assigned
- Sep 4, 2013
- 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 |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | 4372 | NM | Primary |
Addresses
Primary practice location
5006 Copper Ave NE
Albuquerque, NM 87108-1301
Mailing address
317 Cornell Dr SE
Albuquerque, NM 87106-3584
Phone (505) 301-4477
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10171568 | Medicaid | NM | |
| 326556 | Other | NM | MEDICARE |
Other names 1
- Hayley Shoemaker
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 |
|---|---|---|---|
| 4372 | NM | MD | Pediatric Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amistad Family Services Inc | Past | Accepting new patients | |
| Explorabilities Inc | Past | Accepting new patients |
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.
-
- Community/Behavioral Health Agency
- Las Cruces, NM
- NPI 1558654483
-
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Albuquerque, NM
- NPI 1346210473
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1378252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1378252800000",
"number": "1205261716",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "317 CORNELL DR SE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871063584",
"telephone_number": "505-301-4477"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5006 COPPER AVE NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871081301",
"telephone_number": "505-268-7988",
"fax_number": "505-268-8021"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "HAYLEY",
"middle_name": "M",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-09-04",
"last_updated": "2013-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "NM",
"license": "4372",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10171568",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "326556",
"state": "NM"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "HAYLEY",
"last_name": "SHOEMAKER",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 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.