Active NPI
Hailey Bree Krull, PT, DPT, CBIS
- Physical Therapist
- Hastings, NE
National Provider Identifier
1245888148
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 3628
- Practice address
- 2307 Osborne Dr W
Hastings, NE 68901-9116 - Phone
- (402) 462-2665
- NPI assigned
- Sep 4, 2019
- 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 | 3628 | NE | Primary |
Addresses
Primary practice location
2307 Osborne Dr W
Hastings, NE 68901-9116
Mailing address
2307 Osborne Dr W
Hastings, NE 68901-9116
Phone (402) 462-2665
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3628 | NE | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1567555200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615334400000",
"number": "1245888148",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2307 OSBORNE DR W",
"city": "HASTINGS",
"state": "NE",
"postal_code": "689019116",
"telephone_number": "402-462-2665"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2307 OSBORNE DR W",
"city": "HASTINGS",
"state": "NE",
"postal_code": "689019116",
"telephone_number": "402-462-2665"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRULL",
"first_name": "HAILEY",
"middle_name": "BREE",
"credential": "PT, DPT, CBIS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-04",
"last_updated": "2021-03-10",
"certification_date": "2021-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NE",
"license": "3628",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hastings, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 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.