Individual provider Active NPI

Haille G Payne, DPT

  • Physical Therapist
  • Chesterfield, MO
National Provider Identifier
1114441409
Registry record updated Jul 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2017026985 Issued in MO
Practice address
14515 N Outer 40 Rd Ste 110
Chesterfield, MO 63017-5746
Phone
(314) 434-6060
NPI assigned
Jul 28, 2017
Last updated
Jul 28, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2017026985 MO Primary

Addresses

Primary practice location

14515 N Outer 40 Rd Ste 110
Chesterfield, MO 63017-5746

Mailing address

14515 N Outer 40 Rd Ste 110
Chesterfield, MO 63017-5746

Other identifiers 1

IdentifierTypeStateIssuer
2017026985OtherMOMISSOURI BOARD OF HEALING ARTS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170912000812 MO Practitioner - Physical Therapist in Private Practice 3577836618 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
P2 Enterprises LLCGroup PAC ID 9830488790, 2 clinicians

Practice addresses (Care Compare)

4100 Lindell Blvd
Suite 140
Saint Louis, MO 63108-2985
Phone (314) 361-6100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
P2 Enterprises, LLC Physical Therapist CurrentSince Mar 19, 2018 Accepting new patients
Atr Hand Therapy LLC Physical Therapist PastSince Aug 6, 2017 Accepting new patients
P2 Enterprises, LLC Physical Therapist PastSince Mar 19, 2018 Accepting new patients

Locations

15 Apex Dr
Highland, IL 62249
Phone (618) 441-0482

4100 Lindell Blvd
Ste 140
Saint Louis, MO 63108
Phone (314) 361-6100

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1501200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1501200000000",
    "number": "1114441409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14515 N OUTER 40 RD STE 110",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630175746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14515 N OUTER 40 RD STE 110",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630175746",
            "telephone_number": "314-434-6060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAYNE",
        "first_name": "HAILLE",
        "middle_name": "G",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-28",
        "last_updated": "2017-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2017026985",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MISSOURI BOARD OF HEALING ARTS",
            "identifier": "2017026985",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesterfield, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2017; 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.

Verify at the official NPI Registry.