Active NPI
Hayley Christine Manley
- Occupational Therapist
- Minneapolis, MN
National Provider Identifier
1609401462
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 6722-26
- Practice address
- 800 E 28TH St
Minneapolis, MN 55407-3799 - Phone
- (612) 863-6029
- Fax
- (608) 262-7679
- NPI assigned
- Mar 11, 2020
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 6722-26 | WI | Primary |
Addresses
Primary practice location
800 E 28TH St
Minneapolis, MN 55407-3799
Mailing address
1431 Frear St
Hudson, WI 54016-2016
Phone (715) 781-9682
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
| License | State | Type | Specialty |
|---|---|---|---|
| 6722-26 | WI | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1583884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637625600000",
"number": "1609401462",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1431 FREAR ST",
"city": "HUDSON",
"state": "WI",
"postal_code": "540162016",
"telephone_number": "715-781-9682"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 E 28TH ST",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554073799",
"telephone_number": "612-863-6029",
"fax_number": "608-262-7679"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANLEY",
"first_name": "HAYLEY",
"middle_name": "CHRISTINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-03-11",
"last_updated": "2021-11-23",
"certification_date": "2021-11-23",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WI",
"license": "6722-26",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 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.