Hailey Hovelsrud

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA-04212 Issued in AZ

Practice address

9085 E Mountain View Rd
Prescott Valley, AZ 86315-4181

Phone

(928) 499-7066

NPI assigned

Nov 23, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1606089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606089600000",
    "number": "1659975381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9085 E MOUNTAIN VIEW RD",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "863154181",
            "telephone_number": "928-499-7066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9085 E MOUNTAIN VIEW RD",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "863154181",
            "telephone_number": "928-499-7066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOVELSRUD",
        "first_name": "HAILEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-23",
        "last_updated": "2020-11-23",
        "certification_date": "2020-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "AZ",
            "license": "PTA-04212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan C Horst, LPC
• Douglas Hoskins
• Hospice of Yavapai County, LLC
• Kathleen Hourihan, LMSW
• Susan Joralemon Hout, PT, MED
• Jacquelyn Sue Howe, PHARMD
• HSP Inc
• Donald John Huang, MD
• Joan Goodwin Hull, RN
• Humboldt Unified School District #22

• Physical Therapy Assistant in Prescott Valley, AZ
• Providers in Prescott Valley, AZ by specialty
• Physical Therapy Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 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.