Kassidi Hale, COTA

Primary specialty

Physical Rehabilitation Occupational TherapistTaxonomy code 225XP0019X

License

2947 Issued in NV

Practice address

2965 Wigwam Pkwy
Henderson, NV 89074-2870

Phone

(702) 470-2020

NPI assigned

Feb 5, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Reliant Pro Rehab LLC

  • Physical Therapist
  • Plano, TX
  • NPI 1265881197

  Single Specialty

  NPD (past)
• Reliant Pro Rehab LLC

  • Physical Therapist
  • Plano, TX
  • NPI 1922404664
  NPD (past)

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

{
    "created_epoch": "1707091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707091200000",
    "number": "1306609920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "431 SELLERS PL",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890115311",
            "telephone_number": "208-851-2663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2965 WIGWAM PKWY",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890742870",
            "telephone_number": "702-470-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALE",
        "first_name": "KASSIDI",
        "credential": "COTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-05",
        "last_updated": "2024-02-05",
        "certification_date": "2024-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0019X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "NV",
            "license": "2947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kassidi.hale@reliant-rehab.com",
            "affiliation": "N",
            "endpointDescription": "Private healthcare email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "kassidi.hale@reliant-rehab.com",
            "address_1": "5800 Granite Pkwy Ste 1000",
            "city": "Plano",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750246619",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Rachel Elizabeth Hajda, PT, DPT
• Robin Hakakha
• Madiso Halberg
• Hale Practice Solutions
• Hale Practice Solutions
• Latoya Hale
• Letti L Hale, DDS
• Corey Hales
• Janice Marie Haley
• Jennifer Susan Haley, RPH

• Physical Rehabilitation Occupational Therapist in Henderson, NV
• Providers in Henderson, NV by specialty
• Physical Rehabilitation Occupational Therapist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 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.