Active NPI
Rebecca Nicole Hayes, PT
- Physical Therapist
- Liberty Lake, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT60446650
- Practice address
- 23505 E Appleway Ave Ste 106
Liberty Lake, WA 99019-6003 - Phone
- (509) 891-2258
- Fax
- (509) 891-2094
- NPI assigned
- Jun 23, 2008
- Last updated
- Jul 22, 2026
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT-3467 | ID | |
| Physical Therapist | 225100000X | PT60446650 | WA | Primary |
| Physical Therapist | 225100000X | 5676 | OR |
Addresses
Primary practice location
23505 E Appleway Ave Ste 106
Liberty Lake, WA 99019-6003
Mailing address
16083 SW Upper Boones Ferry Rd Ste 300
Tigard, OR 97224-7736
Phone (503) 443-6156
Other practice location 1
940 W Ironwood Dr Ste A
Coeur D Alene, ID 83814-2486
Phone (208) 625-5311
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952562878 | Medicaid | WA | |
| P01451146 | Other | WA | RR MEDICARE |
| 0329760 | Other | WA | WA L&I |
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 |
|---|---|---|---|
| 5676 | OR | MD | Physical Therapist |
| PT60446650 | WA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Omnis Omnia Inc. | Past | Accepting new patients | |
| Therapeutic Associates Inc | Physical Therapist | Past | Accepting new patients |
| New Proactive LLC | Physical Therapist | Past | Accepting new patients |
| Therapeutic Associates Inc | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 4
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.
-
dba ProActive Physical Therapy
- Physical Therapy Clinic/Center
- Oregon City, OR
- NPI 1396273199
Physical Therapist
-
dba Peak Performance Physical Therapy
- Orthopedic Physical Therapist
- Redmond, OR
- NPI 1013949239
-
dba TAI Cedar Hills Physical Therapy
- Physical Therapist
- Portland, OR
- NPI 1700862000
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214179200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784678400000",
"number": "1952562878",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16083 SW UPPER BOONES FERRY RD STE 300",
"city": "TIGARD",
"state": "OR",
"postal_code": "972247736",
"telephone_number": "503-443-6156",
"fax_number": "503-639-9699"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23505 E APPLEWAY AVE STE 106",
"city": "LIBERTY LAKE",
"state": "WA",
"postal_code": "990196003",
"telephone_number": "509-891-2258",
"fax_number": "509-891-2094"
}
],
"practiceLocations": [
{
"address_1": "940 W Ironwood Dr Ste A",
"address_purpose": "LOCATION",
"city": "Coeur D Alene",
"state": "ID",
"postal_code": "838142486",
"country_code": "US",
"telephone_number": "208-625-5311",
"fax_number": "208-625-4184",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HAYES",
"first_name": "REBECCA",
"middle_name": "NICOLE",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-23",
"last_updated": "2026-07-22",
"certification_date": "2026-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "ID",
"license": "PT-3467",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT60446650",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OR",
"license": "5676",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1952562878",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P01451146",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WA L&I",
"identifier": "0329760",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Liberty Lake, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.