Theresa L Haley, PT, DPT, CMP

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT60163417 Issued in WA

Practice address

37624 SE Fury St Ste C201
Snoqualmie, WA 98065-9680

Phone

(425) 292-0223

Fax

(425) 292-9225

NPI assigned

Aug 11, 2010

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Greenwood Physical Therapy PLLC

  • Physical Therapist
  • Seattle, WA
  • NPI 1982786596
  NPD (past)
• Lakeland Sports & Spine Physical Therapy

  • Physical Therapy Clinic/Center
  • Auburn, WA
  • NPI 1194857250
  NPD (past)

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

{
    "created_epoch": "1281484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667347200000",
    "number": "1285949487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37624 SE FURY ST STE C201",
            "city": "SNOQUALMIE",
            "state": "WA",
            "postal_code": "980659680",
            "telephone_number": "425-292-0223",
            "fax_number": "425-292-9225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37624 SE FURY ST STE C201",
            "city": "SNOQUALMIE",
            "state": "WA",
            "postal_code": "980659680",
            "telephone_number": "425-292-0223",
            "fax_number": "425-292-9225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALEY",
        "first_name": "THERESA",
        "middle_name": "L",
        "credential": "PT, DPT, CMP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-11",
        "last_updated": "2022-11-02",
        "certification_date": "2022-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT60163417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Betsy Gudz, BA, CDP
• Kendra Gudz, LMP
• Lydia Guengerich
• Carol Gunning, RN
• Joanna Marie Hagen, ARNP
• Jennifer Hall
• Kimbre Leigh Hall, MS, OTR/L
• Jonathan Halper, MD
• Shalene Nicole Haynie
• Erika Ingrid Hendron Menninger, OTD, ORT/L

• Physical Therapist in Snoqualmie, WA
• Providers in Snoqualmie, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2022; 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.