Individual provider Active NPI

Hayley Addison Krueger, DPT

  • Physical Therapist
  • North Myrtle Beach, SC
National Provider Identifier
1235808072
Registry record updated Sep 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11216 Issued in SC
Practice address
1621 Highway 17 N
North Myrtle Beach, SC 29582-2229
Phone
(843) 353-3460
NPI assigned
Sep 7, 2021
Last updated
Sep 6, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 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 11216 SC Primary

Addresses

Primary practice location

1621 Highway 17 N
North Myrtle Beach, SC 29582-2229

Mailing address

1013 Summer Cape Cir
League City, TX 77573-6397
Phone (832) 315-9814

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, DC, VA, SC, WA5 enrollments

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20211013002562 TN Practitioner - Physical Therapist in Private Practice 8123426673 Reassigns benefits to 1 organization
I20220126001907 DC Practitioner - Physical Therapist in Private Practice 8123426673 Reassigns benefits to 2 organizations
I20220218000727 VA Practitioner - Physical Therapist in Private Practice 8123426673 Reassigns benefits to 1 organization
I20220526000753 SC Practitioner - Physical Therapist in Private Practice 8123426673 Reassigns benefits to 1 organization
I20230614002294 WA Practitioner - Physical Therapist in Private Practice 8123426673 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Multicare Health SystemGroup PAC ID 7719899897, 2,312 clinicians

Practice addresses (Care Compare)

4700 Point Fosdick Dr
Gig Harbor, WA 98335-1706

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11216SCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Independent Physical Therapy, LLC Physical Therapist CurrentSince Sep 20, 2021 Accepting new patients
Therapy Management Services, PLLC Physical Therapist CurrentSince Jan 6, 2025 Accepting new patients
Therapy Management Services, PLLC Physical Therapist CurrentSince Jan 6, 2025 Accepting new patients
Multicare Health System CurrentSince May 19, 2023 Accepting new patients
Ati Holdings, LLC Physical Therapist CurrentSince Jan 23, 2023 Accepting new patients
Multicare Health System Current Accepting new patients
Jackson Clinics Limited Partnership Physical Therapist CurrentSince Jan 10, 2022 Accepting new patients
Therapy Management Services, PLLC Physical Therapist Current Accepting new patients
Ati Holdings, LLC Physical Therapist CurrentSince Jan 23, 2023 Accepting new patients
Multicare Health System CurrentSince May 19, 2023 Accepting new patients
Orthosc, LLC PastSince May 29, 2022 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

790 Remington Blvd
Bolingbrook, IL 60440

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

1650 Lyndon Farm Ct
Ste 300
Louisville, KY 40223
Phone (726) 202-3039

4611 Sangamore Rd
Ste G
Bethesda, MD 20816
Phone (240) 802-5199

11271 New Hampshire Ave
Silver Spring, MD 20904
Phone (240) 485-1280

6397 Lee Hwy
Ste 300
Chattanooga, TN 37421
Phone (866) 518-0283

1202 N Charles G Seivers Blvd
Ste A
Clinton, TN 37716
Phone (865) 457-0192

7555 Barnett Way
Powell, TN 37849
Phone (865) 938-3556

43490 Yukon Dr
Ashburn, VA 20147
Phone (703) 729-7920

5900 Fort Dr
Ste 208
Centreville, VA 20121
Phone (703) 830-6360

12701 Fair Lakes Cir
Ste 102
Fairfax, VA 22033

119 The Plains Rd
Ste 100
Middleburg, VA 20117
Phone (540) 687-8181

814 DuPont St
Bellingham, WA 98225
Phone (360) 671-2900

15500 1st Ave S
Ste 106
Burien, WA 98148
Phone (206) 242-0855

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

222 State Ave N
Kent, WA 98030
Phone (253) 372-7680

19217 36th Ave W
Ste 102
Lynnwood, WA 98036
Phone (425) 670-9991

1000 Dexter Ave N
Ste 320
Seattle, WA 98109
Phone (206) 486-3344

709 Cook Rd
Sedro Woolley, WA 98284
Phone (360) 873-8191

311 S L St
Tacoma, WA 98405
Phone (253) 403-1444

Interoperability endpoints

  • Direct secure messaging: hayley.krueger.1@17161.direct.athenahealth.com

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1630972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725580800000",
    "number": "1235808072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1013 SUMMER CAPE CIR",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775736397",
            "telephone_number": "832-315-9814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1621 HIGHWAY 17 N",
            "city": "NORTH MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295822229",
            "telephone_number": "843-353-3460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUEGER",
        "first_name": "HAYLEY",
        "middle_name": "ADDISON",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-07",
        "last_updated": "2024-09-06",
        "certification_date": "2024-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "11216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Myrtle Beach, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2024; 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.