Haile Physical Therapy LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

16024 Issued in MD

Legal business name

HAILE PHYSICAL THERAPY LLC

Practice address

2152 Renard CT
Annapolis, MD 21401-6756

Phone

(410) 571-1151

Fax

(410) 266-1513

NPI assigned

Oct 6, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Anne E Haile, PT

Title

Owner

Phone

(410) 571-1151

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sharon S. Potts, P. T.

  • Physical Therapist
  • Annapolis, MD
  • NPI 1386627016
  NPD

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

{
    "created_epoch": "1223251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584576000000",
    "number": "1487805685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 AMESBURY CT",
            "city": "SEVERNA PARK",
            "state": "MD",
            "postal_code": "211461200",
            "telephone_number": "410-647-7326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2152 RENARD CT",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214016756",
            "telephone_number": "410-571-1151",
            "fax_number": "410-266-1513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAILE PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-06",
        "last_updated": "2020-03-19",
        "certification_date": "2020-03-19",
        "status": "A",
        "authorized_official_last_name": "HAILE",
        "authorized_official_first_name": "ANNE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-571-1151",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MD",
            "license": "16024",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1053539601",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Faith Hagerty, M.P.T.
• Shelby Haggerty
• Christian Michael Hague, MD
• Elizabeth Anne Hahn, MD
• Gina Decaro Hahn, DPT
• Anne Haile, P.T.
• Haregnesh Haile, PHD
• Redietu Akalu Haile
• Sharazad Haimanchandra, LMSW
• Hassan Haji, MD

• Physical Therapy Clinic/Center in Annapolis, MD
• Providers in Annapolis, MD by specialty
• Physical Therapy Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2020; 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.