Individual provider Active NPI

Annabell Leigh Hadley, PT, DPT

  • Physical Therapist
  • Corpus Christi, TX
National Provider Identifier
1376671040
Registry record updated Aug 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1163470 Issued in TX
Practice address
9929 S Padre Island Dr Ste 117
Corpus Christi, TX 78418-5148
Phone
(361) 354-4274
NPI assigned
Mar 2, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 1163470 TX
Physical Therapist 225100000X 1163470 TX Primary

Addresses

Primary practice location

9929 S Padre Island Dr Ste 117
Corpus Christi, TX 78418-5148

Mailing address

8046 Calgary Dr
Corpus Christi, TX 78414-4089
Phone (361) 688-6955

Other practice location 1

1311 General Cavazos Blvd
Kingsville, TX 78363-7129
Phone (361) 595-9588

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1163470TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Dynamic Orthopedic Physical Therapy Wellness Clinic, LLC Physical Therapist PastSince Aug 30, 2020 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598486400000",
    "number": "1376671040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8046 CALGARY DR",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784144089",
            "telephone_number": "361-688-6955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9929 S PADRE ISLAND DR STE 117",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784185148",
            "telephone_number": "361-354-4274"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1311 General Cavazos Blvd",
            "address_purpose": "LOCATION",
            "city": "Kingsville",
            "state": "TX",
            "postal_code": "783637129",
            "country_code": "US",
            "telephone_number": "361-595-9588",
            "fax_number": "361-595-9740",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HADLEY",
        "first_name": "ANNABELL",
        "middle_name": "LEIGH",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-02",
        "last_updated": "2020-08-27",
        "certification_date": "2020-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "1163470",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1163470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2020; 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.