Hailey Tucker, PT, DPT

Primary specialty

Geriatric Physical TherapistTaxonomy code 2251G0304X

License

012484 Issued in OH

Practice address

4210 Telegraph LN
Vermilion, OH 44089-3748

Phone

(440) 967-1800

NPI assigned

May 25, 2015

Sex

Female

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

• Hailey Jungeberg Former name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 25, 2015.

{
    "created_epoch": "1432512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432512000000",
    "number": "1396124277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "860 LIVERMORE LN",
            "city": "ELYRIA",
            "state": "OH",
            "postal_code": "440353012",
            "telephone_number": "440-315-1289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4210 TELEGRAPH LN",
            "city": "VERMILION",
            "state": "OH",
            "postal_code": "440893748",
            "telephone_number": "440-967-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUCKER",
        "first_name": "HAILEY",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-25",
        "last_updated": "2015-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "OH",
            "license": "012484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HAILEY",
            "last_name": "JUNGEBERG",
            "credential": "PT, DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sonja Thompson
• Tameka Thornton
• Christopher J Tomshack, DC
• Trilogy Healthcare of Telegraph, LLC
• Trilogy Healthcare of West Lake, LLC
• Amarie Twyman
• Vermilion Local School District
• Vermilion Township Office of Clerk
• Zvonko Ivan Vukovic, D.C.
• Michele Lynn Weber, PCC

• All providers in Vermilion, OH
• Geriatric Physical Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2015; 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.