Individual provider Active NPI

Hailey Ann Solis, PT, DPT

  • Physical Therapist
  • Riverside, CA
National Provider Identifier
1770324139
Registry record updated Jun 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
306097 Issued in CA
Practice address
3908 10TH St
Riverside, CA 92501-3522
Phone
(951) 274-7744
NPI assigned
Jun 1, 2024
Last updated
Jun 1, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 306097 CA Primary

Addresses

Primary practice location

3908 10TH St
Riverside, CA 92501-3522

Mailing address

1502 Penn Mar Ave
South El Monte, CA 91733-3954
Phone (626) 476-5386

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240625000393 CA Practitioner - Physical Therapist in Private Practice 3971046483 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Socal Rehab Associates, IncGroup PAC ID 3274422951, 5 clinicians

Practice addresses (Care Compare)

3908 10TH St
Riverside, CA 92501-3522
Phone (951) 274-7744

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
306097CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Socal Rehab Associates Inc Physical Therapist CurrentSince Jun 3, 2024 Accepting new patients

Locations

3908 10th St
Riverside, CA 92501
Phone (909) 274-7744

4343 Market St
Ste B
Riverside, CA 92501
Phone (909) 233-7823

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.

NPI Registry JSON

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

{
    "created_epoch": "1717200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717200000000",
    "number": "1770324139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1502 PENN MAR AVE",
            "city": "SOUTH EL MONTE",
            "state": "CA",
            "postal_code": "917333954",
            "telephone_number": "626-476-5386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3908 10TH ST",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925013522",
            "telephone_number": "951-274-7744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLIS",
        "first_name": "HAILEY",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-01",
        "last_updated": "2024-06-01",
        "certification_date": "2024-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "306097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.