Grace Haley

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT-5994-0 Issued in HI

Practice address

75-165 Hualalai Rd
Kailua Kona, HI 96740-3722

Phone

(808) 329-0591

NPI assigned

Jun 3, 2024

Last updated

Nov 19, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hawaiian Rehabilitation Services Inc

  • Rehabilitation Clinic/Center
  • Kailua Kona, HI
  • NPI 1518935162

  Physical Therapist

  NPD

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

{
    "created_epoch": "1717372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731974400000",
    "number": "1275374464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 FOXBOROUGH DR",
            "city": "WILLIAMSTON",
            "state": "MI",
            "postal_code": "488959206",
            "telephone_number": "517-574-0059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75-165 HUALALAI RD",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "967403722",
            "telephone_number": "808-329-0591"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6789 Elm Valley Dr",
            "address_purpose": "LOCATION",
            "city": "Kalamazoo",
            "state": "MI",
            "postal_code": "490097476",
            "country_code": "US",
            "telephone_number": "269-544-3200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALEY",
        "first_name": "GRACE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-03",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501303121",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "HI",
            "license": "PT-5994-0",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chelsea Lenay Haaland, LCSW
• Timothy H. Hagino, MD
• Hale Psychology LLC
• Katlyn Hale, PSY.D.
• Kristen A Hale, LCSW
• Dustan Hall
• Ellen E Halley, CRNA
• Nina Tatiana Hamid, DACM, L.AC, MAC.OM
• Taylor Ann Hamil, LM, CPM, LMT
• Lora Hamilton-Aller

• Physical Therapist in Kailua Kona, HI
• Providers in Kailua Kona, HI by specialty
• Physical Therapist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 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.

Verify at the official NPI Registry.