Dyanna Haley-Rezac, PT DPT OCS CSCS CKTP

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

1817 N Union Blvd Ste a
Colorado Springs, CO 80909-2268

Phone

(719) 465-1502

Fax

(719) 465-2087

NPI assigned

Nov 2, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242000000000",
    "number": "1063590388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1817 N UNION BLVD STE A",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809092268",
            "telephone_number": "719-465-1502",
            "fax_number": "719-465-2087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1817 N UNION BLVD STE A",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809092268",
            "telephone_number": "719-465-1502",
            "fax_number": "719-465-2087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALEY-REZAC",
        "first_name": "DYANNA",
        "name_prefix": "Dr.",
        "credential": "PT DPT OCS CSCS CKTP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-02",
        "last_updated": "2009-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE#",
            "identifier": "8111",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Makenzie Hale
• Olivia Hale, DPT
• Robert Earl Hale III
• Tracy Hale, SLP
• Tabitha Hales, CCC-SLP
• Gena Renai Haley, LPC
• Veronica Haley, MSW, LSW
• Whitney Halgrimson, M.D.
• Cherlyn Haliburton
• Shawna Hall-Johner, MA, CCC-SLP

• Physical Therapist in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Physical Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.