Hailley Goleta

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT297379 Issued in CA

Practice address

957 Faulkner Rd Ste 105
Santa Paula, CA 93060-9129

Phone

(805) 765-4773

NPI assigned

Oct 16, 2019

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Second Wave Physical Therapy IncGroup PAC ID 3274996905, 24 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Second Wave Physical Therapy Inc.

  • Physical Therapy Clinic/Center
  • Oxnard, CA
  • NPI 1851082812

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Two Trees Physical Therapy & Wellness Inc

  • Physical Therapist
  • Ventura, CA
  • NPI 1770830325
  Medicare reassignment NPD
• Two Trees Physical Therapy & Wellness Inc

  • Physical Therapist
  • Ventura, CA
  • NPI 1205453305
  NPD

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

{
    "created_epoch": "1571184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571184000000",
    "number": "1235771882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 EBONY DR",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930308797",
            "telephone_number": "805-657-1264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "957 FAULKNER RD STE 105",
            "city": "SANTA PAULA",
            "state": "CA",
            "postal_code": "930609129",
            "telephone_number": "805-765-4773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLETA",
        "first_name": "HAILLEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-16",
        "last_updated": "2019-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT297379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paola Hinojosa Garcia
• Gary Wikholm M D a Professional Corporation
• Maria Azalea Garza
• Alexandra Gaytan
• Glen City Medical Group, Inc
• Christina Gomez
• Andrea Teran Gonzales, M.D.
• Jennifer Gonzalez
• Saida Gonzalez, MSW STUDENT
• Stefany Gonzalez, MSW

• Physical Therapist in Santa Paula, CA
• Providers in Santa Paula, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.