Active NPI
Hayley Christine Hericks, DPT
- Physical Therapist
- Kirkland, WA
National Provider Identifier
1245063130
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 60927140
- Practice address
- 11800 NE 128TH St Ste 200
Kirkland, WA 98034-7211 - Phone
- (425) 899-3300
- NPI assigned
- Aug 26, 2024
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 60927140 | WA | Primary |
Addresses
Primary practice location
11800 NE 128TH St Ste 200
Kirkland, WA 98034-7211
Mailing address
11800 NE 128TH St Ste 200
Kirkland, WA 98034-7211
Other practice location 1
21008 76th Ave W
Edmonds, WA 98026-7104
Phone (425) 778-0107
Other practice location 2
3701 188th St SW
Lynnwood, WA 98037-7626
Phone (425) 775-9222
Other practice location 3
800 10th St
Snohomish, WA 98290-2131
Phone (360) 568-3161
Other names 1
- Hayley Christine Liebel
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 |
|---|---|---|---|
| 60927140 | WA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1724630400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727395200000",
"number": "1245063130",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11800 NE 128TH ST STE 200",
"city": "KIRKLAND",
"state": "WA",
"postal_code": "980347211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11800 NE 128TH ST STE 200",
"city": "KIRKLAND",
"state": "WA",
"postal_code": "980347211",
"telephone_number": "425-899-3300"
}
],
"practiceLocations": [
{
"address_1": "21008 76th Ave W",
"address_purpose": "LOCATION",
"city": "Edmonds",
"state": "WA",
"postal_code": "980267104",
"country_code": "US",
"telephone_number": "425-778-0107",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3701 188th St SW",
"address_purpose": "LOCATION",
"city": "Lynnwood",
"state": "WA",
"postal_code": "980377626",
"country_code": "US",
"telephone_number": "425-775-9222",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "800 10th St",
"address_purpose": "LOCATION",
"city": "Snohomish",
"state": "WA",
"postal_code": "982902131",
"country_code": "US",
"telephone_number": "360-568-3161",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HERICKS",
"first_name": "HAYLEY",
"middle_name": "CHRISTINE",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-08-26",
"last_updated": "2024-09-27",
"certification_date": "2024-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "60927140",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "HAYLEY",
"last_name": "LIEBEL",
"middle_name": "CHRISTINE",
"credential": "DPT",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Kirkland, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.