Individual provider Active NPI

Jordan Rachelle Hoile, DPT

  • Physical Therapist
  • Ganado, AZ
National Provider Identifier
1881083269
Registry record updated Feb 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11302 Issued in AZ
Practice address
Arizona Highway 264 & 191
Navajo Health Foundation/ Sage Memorial Hospital
Ganado, AZ 86505-0457
Phone
(928) 755-4500
Fax
(928) 755-4659
NPI assigned
Jan 22, 2015
Last updated
Feb 26, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 26, 2015

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 11302 AZ Primary

Addresses

Primary practice location

Arizona Highway 264 & 191
Navajo Health Foundation/ Sage Memorial Hospital
Ganado, AZ 86505-0457

Mailing address

PO Box 457
Navajo Health Foundation/Sage Memorial Hospital
Ganado, AZ 86505-0457
Phone (928) 755-4500

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

NPI Registry JSON

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

{
    "created_epoch": "1421884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424908800000",
    "number": "1881083269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 457",
            "address_2": "NAVAJO HEALTH FOUNDATION/SAGE MEMORIAL HOSPITAL",
            "city": "GANADO",
            "state": "AZ",
            "postal_code": "865050457",
            "telephone_number": "928-755-4500",
            "fax_number": "928-755-4659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ARIZONA HIGHWAY 264 & 191",
            "address_2": "NAVAJO HEALTH FOUNDATION/ SAGE MEMORIAL HOSPITAL",
            "city": "GANADO",
            "state": "AZ",
            "postal_code": "865050457",
            "telephone_number": "928-755-4500",
            "fax_number": "928-755-4659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOILE",
        "first_name": "JORDAN",
        "middle_name": "RACHELLE",
        "name_prefix": "Ms.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-22",
        "last_updated": "2015-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "11302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ganado, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2015; 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.