HAILEY TUCKER (NPI# 1396124277) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396124277 |
| Entity Type | Individual |
| Full Name | HAILEY TUCKER |
| Other Name | HAILEY JUNGEBERG |
| Credential | PT, DPT |
| Practice Address |
4210 Telegraph Ln Vermilion OH 44089-3748 |
| Mailing Address |
860 Livermore Ln Elyria OH 44035-3012 |
| Practice Telephone | 4409671800 |
| Mailing Telephone | 4403151289 |
| Enumeration Date | 2015-05-25 |
| Last Update Date | 2015-05-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251G0304X |
Physical Therapist Specialization: Geriatrics |
012484 | OH | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
4210 TELEGRAPH LN |
| City | VERMILION |
| State | OH |
| Zip Code | 44089-3748 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356338594 | Kingston of Vermilion, LLC | Skilled Nursing Facility | 4210 Telegraph Ln, Vermilion, OH 44089-3748 | 2005-10-03 |
| 1184181109 | Rhonda Lynn Prusak | Speech-Language Pathologist | 4210 Telegraph Ln, Vermilion, OH 44089-3748 | 2019-02-26 |
| 1538634589 | Dana Stansbury | Physical Therapist | 4210 Telegraph Ln, Vermilion, OH 44089-3748 | 2018-10-05 |
| 1407343437 | Mary Katherine Carroll | Occupational Therapist | 4210 Telegraph Ln, Vermilion, OH 44089-3748 | 2018-04-16 |
| 1205349024 | Emily Elizabeth Divers | Speech-Language Pathologist | 4210 Telegraph Ln, Vermilion, OH 44089-3748 | 2017-11-15 |
| 1043691553 | Valerie Lorson | Physical Therapist | 4210 Telegraph Ln, Vermilion, OH 44089-3748 | 2015-06-11 |
| 1639566227 | Heather Born | Physical Therapist | 4210 Telegraph Ln, Vermilion, OH 44089-3748 | 2015-04-21 |
| 1679890560 | Rebecca Lynn Farmer | Physical Therapist | 4210 Telegraph Ln, Vermilion, OH 44089-3748 | 2010-04-30 |
| 1619023884 | Linda Teresa Hotz | Physical Therapy Assistant | 4210 Telegraph Ln, Vermilion, OH 44089-3748 | 2007-01-28 |
| 1255409348 | Erica M Kuhns | Physical Therapist | 4210 Telegraph Ln, Vermilion, OH 44089-3748 | 2006-11-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407361827 | Nicholas Kochenour Dmd Msd LLC | Dentist | 1418 Oh-60, Suite 1, Vermilion, OH 44089 | 2017-12-07 |
| 1831588193 | Allison Solberg | Speech-Language Pathologist | 1250 Sandford St, Vermilion, OH 44089 | 2015-01-09 |
| 1225479751 | Peter Michael Dimezza | Counselor | 1607 State Rd Ste 9, Vermilion, OH 44089 | 2013-07-12 |
| 1245677137 | Crystal Lee Neely | Licensed Practical Nurse | 1440 Lexington Dr, Vermilion, OH 44089 | 2013-05-31 |
| 1205169257 | Dewey Furniture & Carpet Inc. | Durable Medical Equipment & Medical Supplies | 4483 Liberty Avenue, Vermilion, OH 44089 | 2009-09-09 |
| 1790903060 | Diane L. Paige | Physical Therapist | 1605 State Road, Ste. 3, Vermilion, OH 44089 | 2007-04-23 |
| 1780756957 | Dina Cynthia Bauer | Podiatrist | 5435 Liberty Ave, Vermilion, OH 44089 | 2006-11-14 |
| 1861599755 | Susan Diane Fee | Counselor | 5475 Liberty Avenue, Vermilion, OH 44089 | 2006-09-20 |
| 1154346658 | Huyen Ngoc T Bartholomew | Family Medicine | 1605 State Route 60, Vineyard Square Plaza #9, Vermilion, OH 44089 | 2006-07-13 |
| 1720052517 | Stephen E Meyer | Family Medicine | 1607 State Route 60, Ste 6, Vermilion, OH 44089 | 2006-02-16 |
| Find all providers in zip 44089 | ||||
| Taxonomy Code | 2251G0304X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Geriatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841891546 | Mari Otterstetter | Physical Therapist | 3945 Walnut Wood Way, Uniontown, OH 44685-7931 | 2020-11-08 |
| 1396361572 | Emily Stanton | Physical Therapist | 454 E Cecil St, Springfield, OH 45503-3658 | 2020-06-23 |
| 1952930091 | Apex Rehabilitation and Healthcare Solutions | Physical Therapist | 2160 State Route 96, Ashland, OH 44805-9629 | 2020-04-01 |
| 1669000998 | Courtnee Warner | Physical Therapist | 509 N Blackhoof St, Wapakoneta, OH 45895-1203 | 2020-03-31 |
| 1568098879 | Thomas Brian Macdonald | Physical Therapist | 11305 Reed Hartman Hwy Ste 226, Blue Ash, OH 45241-2435 | 2020-03-18 |
| 1750778577 | Melicent Bussey | Physical Therapist | 2320 Oakridge Dr, Dayton, OH 45417 | 2015-04-20 |
| 1184023228 | Nancy Huneck | Physical Therapist | 1710 Waltham Rd, Columbus, OH 43221-3866 | 2014-08-14 |
| 1770991606 | Kayla Fite | Physical Therapist | 3988 Maplecove Ln, Apt H, Cincinnati, OH 45255-4994 | 2014-07-23 |
| 1770999393 | Rachel Klein | Physical Therapist | 752 Weatherstone Rd, Holland, OH 43528-7970 | 2014-07-02 |
| 1497178610 | Elyse Rae O'neill | Physical Therapist | 7452 Fulton Dr Nw Ste A, Massillon, OH 44646 | 2014-01-23 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.