Active NPI
Hailey Beach
- Physical Therapist
- Henderson, NV
National Provider Identifier
1497677090
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 1386 S Boulder Hwy Ste 100
Henderson, NV 89015-7091 - Phone
- (702) 564-7039
- NPI assigned
- Jul 27, 2026
- Last updated
- Jul 27, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | NU | Primary |
Addresses
Primary practice location
1386 S Boulder Hwy Ste 100
Henderson, NV 89015-7091
Mailing address
1386 S Boulder Hwy Ste 100
Henderson, NV 89015-7091
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Affiliated Physical Therapy | Physical Therapist | Past | Accepting new patients |
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.
-
- Physical Therapist
- North Las Vegas, NV
- NPI 1669607156
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1785110400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785110400000",
"number": "1497677090",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1386 S BOULDER HWY STE 100",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890157091"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1386 S BOULDER HWY STE 100",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890157091",
"telephone_number": "702-564-7039"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEACH",
"first_name": "HAILEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-07-27",
"last_updated": "2026-07-27",
"certification_date": "2026-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Henderson, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.