Active NPI
Haley Hutton
- Physical Therapist
- Lakewood, CO
National Provider Identifier
1679192348
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 00160204
- Practice address
- 255 S Routt St
Lakewood, CO 80228-2271 - Phone
- (928) 890-7655
- NPI assigned
- Apr 13, 2020
- Last updated
- Apr 14, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 00160204 | CO | Primary |
Addresses
Primary practice location
255 S Routt St
Lakewood, CO 80228-2271
Mailing address
5423 Royal Pine St
Brighton, CO 80601-5370
Phone (928) 890-7655
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Epic | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00160204 | CO | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advantage Physical Therapy & Wellness, PC | Physical Therapist | Current | Accepting new patients |
| Durango Sports Club, Inc. | Physical Therapist | Past | Accepting new patients |
Locations
3600 Main Ave
Ste A
Durango, CO 81301
Phone (970) 259-7829
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- Durango, CO
- NPI 1790850824
-
dba Durango Sports Club Physical Therapy
- Physical Therapist
- Durango, CO
- NPI 1386728285
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1586736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1586822400000",
"number": "1679192348",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5423 ROYAL PINE ST",
"city": "BRIGHTON",
"state": "CO",
"postal_code": "806015370",
"telephone_number": "928-890-7655"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "255 S ROUTT ST",
"city": "LAKEWOOD",
"state": "CO",
"postal_code": "802282271",
"telephone_number": "928-890-7655"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUTTON",
"first_name": "HALEY",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-04-13",
"last_updated": "2020-04-14",
"certification_date": "2020-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CO",
"license": "00160204",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Epic",
"affiliation": "N",
"endpointDescription": "EMR",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "255 S Routt St",
"city": "Lakewood",
"state": "CO",
"country_code": "US",
"postal_code": "802282271",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Lakewood, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.