Hailey Dieringer, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2162438 Issued in TX

Practice address

744 S Columbia Dr
West Columbia, TX 77486-3030

Phone

(979) 345-2856

Fax

(979) 345-2350

NPI assigned

Aug 10, 2023

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

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 and National Provider Directory roles.

• Revive & Rehab Physical Therapy

  • Physical Therapy Clinic/Center
  • West Columbia, TX
  • NPI 1043928393
  NPD

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

{
    "created_epoch": "1691625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691625600000",
    "number": "1346923968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4687 COUNTY ROAD 356",
            "city": "BRAZORIA",
            "state": "TX",
            "postal_code": "774228108",
            "telephone_number": "979-236-6908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "744 S COLUMBIA DR",
            "city": "WEST COLUMBIA",
            "state": "TX",
            "postal_code": "774863030",
            "telephone_number": "979-345-2856",
            "fax_number": "979-345-2350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIERINGER",
        "first_name": "HAILEY",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-10",
        "last_updated": "2023-08-10",
        "certification_date": "2023-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2162438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Columbia Dental and Orthodontics PLLC
• Columbia-Brazoria Isd
• CVS Pharmacy Inc
• Barbara A Davenport, LICENSED MIDWIFE
• William Bryant Davis, R. EP T., CNIM
• Jarrett Wayne Donley Sr., BS
• Driggers and Baker Family Dentistry, PLLC
• Alise Terry Driggers, DPT
• Terry L Driggers, DDS
• Virgust Justice Dykes, P.A.

• Physical Therapy Assistant in West Columbia, TX
• Providers in West Columbia, TX by specialty
• Physical Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2023; 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.