Individual provider Active NPI

Haley Jones, PT, DPT

  • Physical Therapist
  • Ortonville, MN
National Provider Identifier
1437830817
Registry record updated Jul 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
12720 Issued in MN
Practice address
450 Eastvold Ave
Ortonville, MN 56278-1252
Phone
(320) 839-4150
NPI assigned
Jul 27, 2023
Last updated
Jul 27, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2023

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 12720 MN Primary

Addresses

Primary practice location

450 Eastvold Ave
Ortonville, MN 56278-1252

Mailing address

450 Eastvold Ave
Ortonville, MN 56278-1252

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260210002346 ID Practitioner - Physical Therapist in Private Practice 4183103195 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mountain Land Rehabilitation LLCGroup PAC ID 9234048745, 207 clinicians

Practice addresses (Care Compare)

8727 W Ardene St
Suite 102G
Boise, ID 83709-2627
Phone (208) 322-6200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12720MNMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain Land Rehabilitation LLC Physical Therapist CurrentSince Jan 26, 2026 Accepting new patients
McDonald Rehab, PC Physical Therapist PastSince Apr 29, 2024 Accepting new patients

Locations

588 Fort Hall Ave
American Falls, ID 83211
Phone (208) 233-2248

1961 S Broadway Ave
Boise, ID 83706
Phone (208) 344-1851

8727 W Ardene St
Ste 102G
Boise, ID 83709
Phone (208) 322-6200

4623 Enterprise Way
Caldwell, ID 83605
Phone (208) 455-4231

875 E Plaza Dr
Ste 103
Eagle, ID 83616
Phone (208) 229-7075

912 S Washington Ave
Emmett, ID 83617
Phone (208) 365-4400

1680 E 1st St
Idaho Falls, ID 83401
Phone (208) 417-0090

2210 Coronado St
Idaho Falls, ID 83404
Phone (208) 317-3956

3345 Potomac Way
Idaho Falls, ID 83404
Phone (208) 417-0090

672 E Wythe Creek Ct
Ste 103
Kuna, ID 83634
Phone (208) 922-9828

1450 E Fairview Ave
#201
Meridian, ID 83642
Phone (208) 887-6757

5251 E Exchange Way
Nampa, ID 83687
Phone (208) 466-9642

128 Vista Dr
Pocatello, ID 83201
Phone (208) 233-2248

1800 Flandro Dr
Ste 190
Pocatello, ID 83202
Phone (208) 233-2248

500 S 11th Ave
Ste 506
Pocatello, ID 83201
Phone (208) 233-2248

136 W Main St
Rexburg, ID 83440
Phone (208) 233-2248

Organizations & group practices 2

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": "1690416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690416000000",
    "number": "1437830817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 EASTVOLD AVE",
            "city": "ORTONVILLE",
            "state": "MN",
            "postal_code": "562781252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 EASTVOLD AVE",
            "city": "ORTONVILLE",
            "state": "MN",
            "postal_code": "562781252",
            "telephone_number": "320-839-4150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "HALEY",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-27",
        "last_updated": "2023-07-27",
        "certification_date": "2023-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "12720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ortonville, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.