Hailey Sport and Spine Physical Therapy PA
NPI 1184612772 · Physical Therapist · Hailey, ID
Hailey Sport and Spine Physical Therapy PA is a Physical Therapist organization in Hailey, ID (NPI 1184612772).
Provider details
- NPI number
- 1184612772
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Kimberly Mazik, Owner(208) 788-6312
- License
- 1168 (ID)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Hailey Sport and Spine
Registry dates
- Enumerated
- 2005-10-08
- Last updated
- 2020-08-22
Frequently asked questions
- What is Hailey Sport and Spine Physical Therapy PA's NPI number?
- Hailey Sport and Spine Physical Therapy PA's National Provider Identifier (NPI) is 1184612772, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Hailey Sport and Spine Physical Therapy PA?
- Hailey Sport and Spine Physical Therapy PA is classified in the NPPES registry as Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Hailey Sport and Spine Physical Therapy PA located?
- Hailey Sport and Spine Physical Therapy PA's practice location on file with NPPES is 810 S Main St, Hailey, ID 83333-8426.
- What is Hailey Sport and Spine Physical Therapy PA's phone number?
- The practice phone number listed in the NPPES registry for Hailey Sport and Spine Physical Therapy PA is (208) 788-6312.
- Who is the authorized official for Hailey Sport and Spine Physical Therapy PA?
- The authorized official listed on Hailey Sport and Spine Physical Therapy PA's NPPES record is Kimberly Mazik, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Hailey Sport and Spine Physical Therapy PA's NPI active?
- Yes — Hailey Sport and Spine Physical Therapy PA's NPI (1184612772) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.