Individual provider Active NPI

Jytte Evelyn Hale-Helps, P.T.

  • Orthopedic Physical Therapist
  • La Veta, CO
National Provider Identifier
1215913769
Registry record updated Jan 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
3602 Issued in CO
Practice address
815 South Oak Street
La Veta, CO 81055-0168
Phone
(719) 742-5474
Fax
(719) 742-5474
NPI assigned
Dec 16, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 3602 CO Primary

Addresses

Primary practice location

815 South Oak Street
La Veta, CO 81055-0168

Mailing address

PO Box 168
La Veta, CO 81055-0168
Phone (719) 742-5474

Other identifiers 1

IdentifierTypeStateIssuer
49479768MedicaidCO

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050920001347 CO Practitioner - Physical Therapist in Private Practice 3375577281 Practice locations: La Veta, CO

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

815 S Oak St
La Veta, CO 81055-0168
Phone (719) 742-5474

P O Box
Suite 168
La Veta, CO 81055-0168

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3602COMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1134691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643414400000",
    "number": "1215913769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 168",
            "city": "LA VETA",
            "state": "CO",
            "postal_code": "810550168",
            "telephone_number": "719-742-5474",
            "fax_number": "719-742-5474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 SOUTH OAK STREET",
            "city": "LA VETA",
            "state": "CO",
            "postal_code": "810550168",
            "telephone_number": "719-742-5474",
            "fax_number": "719-742-5474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALE-HELPS",
        "first_name": "JYTTE",
        "middle_name": "EVELYN",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-12-16",
        "last_updated": "2022-01-29",
        "certification_date": "2022-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CO",
            "license": "3602",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "49479768",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in La Veta, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2022; 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.