Individual provider Active NPI

Hailey Levine, LMT

  • Massage Therapist
  • Daphne, AL
National Provider Identifier
1407438468
Registry record updated Apr 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Practice address
9037 Independence Ave Ste A2
Daphne, AL 36526-7694
Phone
(251) 459-0500
NPI assigned
Apr 28, 2021
Last updated
Apr 28, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mechanotherapist 172M00000X MT5583 AL
Massage Therapist 225700000X Primary

Addresses

Primary practice location

9037 Independence Ave Ste A2
Daphne, AL 36526-7694

Mailing address

9037 Independence Ave Ste A2
Daphne, AL 36526-7694
Phone (251) 459-0500

Other identifiers 1

IdentifierTypeStateIssuer
MT5583OtherALLICENSE MASSAGE THERAPY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@dynamictherapeutics.net Direct

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
MT5583ALMDMechanotherapist

Practice roles

OrganizationSpecialtyStatusNew patients
Dynamic Therapeutics, LLC Mechanotherapist CurrentSince May 16, 2021 Accepting new patients

Locations

9037 Independence Ave
Ste A2
Daphne, AL 36526
Phone (251) 459-0500

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1619568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619568000000",
    "number": "1407438468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9037 INDEPENDENCE AVE STE A2",
            "city": "DAPHNE",
            "state": "AL",
            "postal_code": "365267694",
            "telephone_number": "251-459-0500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9037 INDEPENDENCE AVE STE A2",
            "city": "DAPHNE",
            "state": "AL",
            "postal_code": "365267694",
            "telephone_number": "251-459-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVINE",
        "first_name": "HAILEY",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-28",
        "last_updated": "2021-04-28",
        "certification_date": "2021-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172M00000X",
            "taxonomy_group": "",
            "desc": "Mechanotherapist",
            "state": "AL",
            "license": "MT5583",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE MASSAGE THERAPY",
            "identifier": "MT5583",
            "state": "AL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@dynamictherapeutics.net",
            "affiliation": "N",
            "endpointDescription": "secured email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Daphne",
            "address_1": "9037 Independence Ave Ste A2",
            "city": "Daphne",
            "state": "AL",
            "country_code": "US",
            "postal_code": "365267694",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Daphne, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2021; 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.