Individual provider Active NPI

Haley Harrison, PT

  • Physical Therapist
  • Wakefield, MA
National Provider Identifier
1407402118
Registry record updated Apr 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
24098 Issued in MA
Practice address
50C Audubon Rd
Wakefield, MA 01880-1203
Phone
(617) 545-4472
NPI assigned
Aug 18, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 24098 MA Primary

Addresses

Primary practice location

50C Audubon Rd
Wakefield, MA 01880-1203

Mailing address

15 Sonrel St
Woburn, MA 01801-5250
Phone (412) 327-8521

Other practice location 1

50 Tufts St
Somerville, MA 02145-4129
Phone (617) 545-4472

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
24098MAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Empower Physical Therapy and Performance LLC Physical Therapist CurrentSince Jun 1, 2024 Accepting new patients

Locations

50 Tufts St
Somerville, MA 02145
Phone (617) 545-4472

50C Audubon Rd
Wakefield, MA 01880
Phone (617) 545-4472

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": "1566086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745452800000",
    "number": "1407402118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 SONREL ST",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "018015250",
            "telephone_number": "412-327-8521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50C AUDUBON RD",
            "city": "WAKEFIELD",
            "state": "MA",
            "postal_code": "018801203",
            "telephone_number": "617-545-4472"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "50 Tufts St",
            "address_purpose": "LOCATION",
            "city": "Somerville",
            "state": "MA",
            "postal_code": "021454129",
            "country_code": "US",
            "telephone_number": "617-545-4472",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRISON",
        "first_name": "HALEY",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-18",
        "last_updated": "2025-04-24",
        "certification_date": "2025-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "24098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wakefield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2025; 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.