Active NPI
Melissa A Hayman, DPT
- Physical Therapist
- Breckenridge, CO
National Provider Identifier
1053452920
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 17261
- Practice address
- 122 S Main St.
Unit D
Breckenridge, CO 80424 - Phone
- (970) 453-3990
- NPI assigned
- Feb 12, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070014395 | IL | |
| Physical Therapist | 225100000X | 17261 | CO | Primary |
Addresses
Primary practice location
122 S Main St.
Unit D
Breckenridge, CO 80424
Mailing address
PO Box 5584
Frisco, CO 80443-5584
Phone (970) 453-3990
Other practice location 1
1723 W Madison St
Chicago, IL 60612-2606
Phone (312) 432-0900
Other practice location 2
555 South Park Avenue
Plaza Bldg 2
Breckenridge, CO 80424
Phone (970) 262-7420
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
122 S Main St
Suite D
Breckenridge, CO 80424-6209
Phone (970) 453-3990
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Avon, CO
- NPI 1952652984
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171238400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710115200000",
"number": "1053452920",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5584",
"city": "FRISCO",
"state": "CO",
"postal_code": "804435584",
"telephone_number": "970-453-3990"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "122 S MAIN ST.",
"address_2": "UNIT D",
"city": "BRECKENRIDGE",
"state": "CO",
"postal_code": "80424",
"telephone_number": "970-453-3990"
}
],
"practiceLocations": [
{
"address_1": "1723 W Madison St",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606122606",
"country_code": "US",
"telephone_number": "312-432-0900",
"fax_number": "312-432-0922",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "555 South Park Avenue",
"address_2": "Plaza Bldg 2",
"address_purpose": "LOCATION",
"city": "Breckenridge",
"state": "CO",
"postal_code": "80424",
"country_code": "US",
"telephone_number": "970-262-7420",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HAYMAN",
"first_name": "MELISSA",
"middle_name": "A",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-12",
"last_updated": "2024-03-11",
"certification_date": "2024-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070014395",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CO",
"license": "17261",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Breckenridge, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.