Individual provider Active NPI

Lori Hayne, P.T.

  • Physical Therapist
  • Boulder, CO
National Provider Identifier
1366546012
Registry record updated Jul 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2021 Issued in CO
Practice address
2955 Baseline Rd
Boulder, CO 80303-2356
Phone
(303) 444-8707
Fax
(303) 444-8109
NPI assigned
Sep 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2010

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 2021 CO Primary

Addresses

Primary practice location

2955 Baseline Rd
Boulder, CO 80303-2356

Mailing address

5366 Eldorado Springs Dr
Boulder, CO 80305-7314
Phone (303) 494-2579

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101109001532 CO Practitioner - Physical Therapist in Private Practice 6608061163 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Alta Physical Therapy PC CurrentSince May 24, 2000 Accepting new patients

Locations

2955 Baseline Rd
Boulder, CO 80303
Phone (303) 444-8707

Organizations & group practices 1

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": "1158019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280275200000",
    "number": "1366546012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5366 ELDORADO SPRINGS DR",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803057314",
            "telephone_number": "303-494-2579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2955 BASELINE RD",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803032356",
            "telephone_number": "303-444-8707",
            "fax_number": "303-444-8109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYNE",
        "first_name": "LORI",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-12",
        "last_updated": "2010-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "2021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boulder, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.