Hayley Park, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

J1-0014547 Issued in DE

Practice address

210 Cleaver Farms Rd Ste 1
Middletown, DE 19709-1670

Phone

(302) 449-2048

NPI assigned

Jun 6, 2022

Last updated

Jun 6, 2022By 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Citrus Valley Physical Therapy IncGroup PAC ID 8820466105, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Citrus Valley Physical Therapy Inc

  dba Citrus Valley Physical Therapy and Wellness Center

  • Physical Therapist
  • Redlands, CA
  • NPI 1740957521
  Medicare reassignment Care Compare group NPD
• Newbody Inc

  • Registered Dietitian
  • Redlands, CA
  • NPI 1578334769
  NPD

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

{
    "created_epoch": "1654473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654473600000",
    "number": "1336878453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 CLEAVER FARMS RD STE 1",
            "city": "MIDDLETOWN",
            "state": "DE",
            "postal_code": "197091670",
            "telephone_number": "302-449-2048",
            "fax_number": "302-449-2047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 CLEAVER FARMS RD STE 1",
            "city": "MIDDLETOWN",
            "state": "DE",
            "postal_code": "197091670",
            "telephone_number": "302-449-2048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "HAYLEY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-06",
        "last_updated": "2022-06-06",
        "certification_date": "2022-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "DE",
            "license": "J1-0014547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Judith Pantoja
• Karen L Panunto, EDD, MSN, RN, APN
• Dawn Sheree Paramore, LPCMH, CADC, NCC
• Jennifer Parent
• Sara Parisi, M.D.
• Jung Ha Park, O.D.
• Parsley Medical Group de PA
• Passion Care LLC
• Chandni Patel
• Hiral Anilkumar Patel, FNP

• Physical Therapist in Middletown, DE
• Providers in Middletown, DE by specialty
• Physical Therapist in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2022; 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.