Individual provider Active NPI

Haley Carol Recke, PT, DPT

  • Physical Therapist
  • Irving, TX
National Provider Identifier
1225797418
Registry record updated Dec 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1355391 Issued in TX
Practice address
2001 N Macarthur Blvd Ste 550
Irving, TX 75061-2255
Phone
(972) 990-8155
Fax
(971) 990-4398
NPI assigned
Dec 15, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2021

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 1355391 TX Primary

Addresses

Primary practice location

2001 N Macarthur Blvd Ste 550
Irving, TX 75061-2255

Mailing address

1701 Rogers Rd Apt 624
Fort Worth, TX 76107-6591
Phone (603) 759-8713

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

LicenseStateTypeSpecialty
1355391TXMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1639526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639526400000",
    "number": "1225797418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 ROGERS RD APT 624",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761076591",
            "telephone_number": "603-759-8713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 N MACARTHUR BLVD STE 550",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750612255",
            "telephone_number": "972-990-8155",
            "fax_number": "971-990-4398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RECKE",
        "first_name": "HALEY",
        "middle_name": "CAROL",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-15",
        "last_updated": "2021-12-15",
        "certification_date": "2021-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1355391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2021; 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.