Individual provider Active NPI

Haily Elizabeth Hickey, DPT

  • Physical Therapist
  • Austin, TX
National Provider Identifier
1477045847
Registry record updated Jul 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1306023 Issued in TX
Practice address
6207 Sheridan Ave
Austin, TX 78723-1060
Phone
(512) 454-3743
Fax
(512) 334-4465
NPI assigned
Jun 1, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2024

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 1306023 TX Primary

Addresses

Primary practice location

6207 Sheridan Ave
Austin, TX 78723-1060

Mailing address

6207 Sheridan Ave
Austin, TX 78723-1060
Phone (512) 454-3743

Other names 1

  • Haily Elizabeth Vandepoel Former name

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Any Baby Can of Austin, Inc. CurrentSince Jul 21, 2024 Accepting new patients
Revive Physical Therapy Inc PastSince Apr 15, 2019 Accepting new patients

Locations

6207 Sheridan Ave
Austin, TX 78723
Phone (512) 276-8196

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1527811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720396800000",
    "number": "1477045847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6207 SHERIDAN AVE",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787231060",
            "telephone_number": "512-454-3743",
            "fax_number": "512-334-4465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6207 SHERIDAN AVE",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787231060",
            "telephone_number": "512-454-3743",
            "fax_number": "512-334-4465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKEY",
        "first_name": "HAILY",
        "middle_name": "ELIZABETH",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-01",
        "last_updated": "2024-07-08",
        "certification_date": "2024-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1306023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HAILY",
            "last_name": "VANDEPOEL",
            "middle_name": "ELIZABETH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2024; 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.