NPI age
19 years
Enumerated 2006-08-26
● Active Type 2 · Organization
Hailey Physcial Therapy, PA
Hailey Physcial Therapy, PA is 1 of 120 clinic/center organizations in Idaho.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Hogan
Owner/ Physical Therapist
Last NPPES update
2011-10-04
Source: monthly bulk 2026-05
How this organization compares
Across 120 active clinic/center providers in Idaho.
NPI age
19 years
↑ 11 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2006 → 2026
2006-08Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
21 East Maple Street, Suite D
Hailey, ID 83333
Mailing address
Po Box 3113
Hailey, ID 833333113
Authorized official
Mary Hogan, PT
Owner/ Physical Therapist
📞 2084810275
Specialties
-
Clinic/Center PrimaryAn entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 807318900 |
Practice context
Single-site organization. Only one practice location on file.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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