Individual provider Active NPI

Haley Mack, DPT

  • Physical Therapist
  • Columbus, GA
National Provider Identifier
1578141990
Registry record updated Sep 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT015796 Issued in GA
Practice address
6298 Veterans Pkwy Ste 5a
Columbus, GA 31909-6245
Phone
(719) 488-0120
Fax
(719) 488-1427
NPI assigned
Mar 29, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PTL.0017520 CO
Physical Therapist 225100000X PT015796 GA Primary

Addresses

Primary practice location

6298 Veterans Pkwy Ste 5a
Columbus, GA 31909-6245

Mailing address

6824 Terry Dr
Fort Benning, GA 31905-2758
Phone (214) 796-6746

Other names 1

  • Haley McDaniel Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, MO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220607000937 GA Practitioner - Physical Therapist in Private Practice 6406265552 Reassigns benefits to 2 organizations
I20240905004527 MO Practitioner - Physical Therapist in Private Practice 6406265552 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Colorado School of Medicine, Aurora, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Perfect Pelvis, LLCGroup PAC ID 8123473105, 2 clinicians

Practice addresses (Care Compare)

100 NE Tudor Rd
Suite 105
Lees Summit, MO 64086-5600
Phone (816) 607-3747

Merit-based Incentive Payment System (MIPS)

Final score
94.51 of 100Reported as apm
Quality
80.61
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT015796GAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Horizons Diagnostics, L.L.C. CurrentSince Apr 15, 2022 Accepting new patients
Perfect Pelvis, LLC Physical Therapist CurrentSince Jul 23, 2024 Accepting new patients
Horizons Diagnostics, L.L.C. CurrentSince Apr 15, 2022 Accepting new patients
Human Performance and Rehabilitation Centers LLC CurrentSince May 3, 2022 Accepting new patients
Human Performance and Rehabilitation Centers, LLC Physical Therapist CurrentSince May 3, 2022 Accepting new patients
Falcon Physical Therapy and Fitness Physical Therapist PastSince Apr 1, 2021 Accepting new patients

Locations

3934 Woodruff Rd
Columbus, GA 31904
Phone (706) 321-0476

6298 Veterans Pkwy
Ste 5A
Columbus, GA 31909
Phone (706) 320-0927

106 Enterprise Ct
Ste C
Columbus, GA 31904
Phone (706) 221-6448

1650 Lyndon Farm Ct
Ste 300
Louisville, KY 40223
Phone (726) 202-3039

100 NE Tudor Rd
Ste 105
Lees Summit, MO 64086
Phone (816) 607-3747

Interoperability endpoints

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

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": "1616976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694563200000",
    "number": "1578141990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6824 TERRY DR",
            "city": "FORT BENNING",
            "state": "GA",
            "postal_code": "319052758",
            "telephone_number": "214-796-6746",
            "fax_number": "719-495-8685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6298 VETERANS PKWY STE 5A",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319096245",
            "telephone_number": "719-488-0120",
            "fax_number": "719-488-1427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACK",
        "first_name": "HALEY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-29",
        "last_updated": "2023-09-13",
        "certification_date": "2023-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL.0017520",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT015796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HALEY",
            "last_name": "MCDANIEL",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Columbus, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2023; 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.