Individual provider Active NPI

Pamela Perga Hafer, PT

  • Physical Therapist
  • Breckenridge, CO
National Provider Identifier
1215358486
Registry record updated Apr 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTL.0012416 Issued in CO
Practice address
880 Airport Road
Breckenridge, CO 80424-5029
Phone
(970) 453-4364
Fax
(970) 453-7972
NPI assigned
Dec 13, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2024

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 PTL.0012416 CO Primary

Addresses

Primary practice location

880 Airport Road
Breckenridge, CO 80424-5029

Mailing address

880 Airport Road
Breckenridge, CO 80424
Phone (970) 453-4364

Other names 1

  • Pamela H Perga Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140618001725 CO Practitioner - Physical Therapist in Private Practice 1355565177 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vail Clinic IncGroup PAC ID 3577475714, 117 clinicians
Vail-Summit Orthopaedics PCGroup PAC ID 4688564461, 32 clinicians

Practice addresses (Care Compare)

100 Base Camp Way
Suite 105 Howard Head Sports Medicine
Frisco, CO 80443-5967
Phone (970) 668-3169

360 Peak One Dr
Suite 190
Frisco, CO 80443-5868
Phone (970) 668-0888

Merit-based Incentive Payment System (MIPS)

Final score
75.38 of 100Reported as group
Quality
55.42
Promoting interoperability
96
Improvement activities
40
Cost
65.85

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Vail-Summit Orthopaedics PC CurrentSince Jul 1, 2023 Accepting new patients
Vail-Summit Orthopaedics PC Current Accepting new patients
Vail Clinic, Inc. CurrentSince Nov 1, 2020 Accepting new patients
Vail Clinic Inc CurrentSince Nov 1, 2020 Accepting new patients
Vail Clinic, Inc. Current Accepting new patients
Vail-Summit Orthopaedics PC CurrentSince Jul 1, 2023 Accepting new patients

Locations

1280 Village Rd
#324C
Beaver Creek, CO 81620
Phone (970) 949-0800

360 Peak One Dr
Ste 180
Frisco, CO 80443
Phone (970) 368-5945

100 Basecamp Way
#105
Frisco, CO 80443
Phone (970) 476-1225

360 Peak One Dr
#180
Frisco, CO 80443
Phone (970) 668-3633

360 Peak One Dr
Ste 190
Frisco, CO 80443
Phone (970) 668-0888

2472 Patterson Rd
Unit 8
Grand Junction, CO 81505

181 W Meadow Dr
Ste 100
Vail, CO 81657
Phone (970) 479-5036

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DGBIAD

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1386892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713398400000",
    "number": "1215358486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "880 AIRPORT ROAD",
            "city": "BRECKENRIDGE",
            "state": "CO",
            "postal_code": "80424",
            "telephone_number": "970-453-4364",
            "fax_number": "970-453-7972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 AIRPORT ROAD",
            "city": "BRECKENRIDGE",
            "state": "CO",
            "postal_code": "804245029",
            "telephone_number": "970-453-4364",
            "fax_number": "970-453-7972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAFER",
        "first_name": "PAMELA",
        "middle_name": "PERGA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-13",
        "last_updated": "2024-04-18",
        "certification_date": "2024-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL.0012416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAMELA",
            "last_name": "PERGA",
            "middle_name": "H",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Apr 18, 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.

Verify at the official NPI Registry.