Active NPI
Haley Grizzle, OT
- Occupational Therapist
- Grand Island, NE
National Provider Identifier
1649716564
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 2151
- Practice address
- 3004 W Faidley Ave
Grand Island, NE 68803 - Phone
- (308) 398-5170
- NPI assigned
- Jan 17, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Occupational Therapist | 225X00000X | 2151 | NE | Primary |
Addresses
Primary practice location
3004 W Faidley Ave
Grand Island, NE 68803
Mailing address
PO Box 5285
Grand Island, NE 68802-5285
Phone (308) 398-5170
Other practice location 1
230 Great Circle Rd
Ste 202
Nashville, TN 37228
Phone (615) 226-2840
Other names 1
- Haley Habegger
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2151 | NE | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sprocket Therapy Solutions, LLC | Past | Accepting new patients | |
| Elements TN, LLC | Past | Accepting new patients |
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.
-
- Clinic/Center
- Nashville, TN
- NPI 1245895069
-
- Specialist
- Nashville, TN
- NPI 1841631041
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1484611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1550793600000",
"number": "1649716564",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5285",
"city": "GRAND ISLAND",
"state": "NE",
"postal_code": "688025285",
"telephone_number": "308-398-5170",
"fax_number": "308-382-0344"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3004 W FAIDLEY AVE",
"city": "GRAND ISLAND",
"state": "NE",
"postal_code": "68803",
"telephone_number": "308-398-5170"
}
],
"practiceLocations": [
{
"address_1": "230 Great Circle Rd",
"address_2": "STE 202",
"address_purpose": "LOCATION",
"city": "Nashville",
"state": "TN",
"postal_code": "37228",
"country_code": "US",
"telephone_number": "615-226-2840",
"fax_number": "615-226-2839",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GRIZZLE",
"first_name": "HALEY",
"credential": "OT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-01-17",
"last_updated": "2019-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NE",
"license": "2151",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "HALEY",
"last_name": "HABEGGER",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Grand Island, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.