Individual provider Active NPI

Hayley Rae Evelyn Schmidtberger, DPT

  • Physical Therapist
  • Collins, MS
National Provider Identifier
1790205060
Registry record updated Dec 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT6150 Issued in MS
Practice address
3261 Highway 49
Collins, MS 39428-3876
Phone
(601) 765-0519
NPI assigned
Jun 27, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2025

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 PT6150 MS Primary

Addresses

Primary practice location

3261 Highway 49
Collins, MS 39428-3876

Mailing address

2001 Butterfield Rd Ste 1600
Downers Grove, IL 60515-1211
Phone (866) 370-8206

Other practice location 1

97 Gateway Business Park Dr
Ringgold, GA 30736-7395
Phone (706) 937-5771

Other names 1

  • Hayley-Rae Evelyn Tillman Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, GA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180709003439 TN Practitioner - Physical Therapist in Private Practice 7315293180 Reassigns benefits to 1 organization
I20200714000620 GA Practitioner - Physical Therapist in Private Practice 7315293180 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MCM Rehabilitation LLCGroup PAC ID 5294798336, 58 clinicians

Practice addresses (Care Compare)

1630 McCallie Ave
Chattanooga, TN 37404-3021
Phone (423) 698-5590

97 Gateway Business Park Dr
Ringgold, GA 30736-7395
Phone (706) 937-5771

Merit-based Incentive Payment System (MIPS)

Final score
86.7 of 100Reported as group
Quality
90
Improvement activities
40
Cost
73.99

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11221TNMDPharmacist
PT6150MSMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
MCM Rehabilitation LLC CurrentSince Feb 1, 2018 Accepting new patients
MCM Rehabilitation, LLC. Physical Therapist CurrentSince Feb 1, 2018 Accepting new patients

Locations

97 Gateway Business Park Dr
Ringgold, GA 30736
Phone (706) 937-5771

790 Remington Blvd
Bolingbrook, IL 60440

4947 Paysphere Cr
Chicago, IL 60674

4947 Payshere Cir
Chicago, IL 60674

2001 Butterfield Rd
Ste 1600
Downers Grove, IL 60515

1808 Decatur Pike
Ste 20
Athens, TN 37303
Phone (423) 252-1637

1630 McCallie Ave
Chattanooga, TN 37404
Phone (423) 698-5590

1515 Gunbarrel Rd
Ste 129
Chattanooga, TN 37421
Phone (423) 899-9115

3309 Cummings Hwy
Ste D
Chattanooga, TN 37419
Phone (423) 486-1359

250 Signal Mountain Rd
Unit 1
Chattanooga, TN 37405
Phone (423) 321-8656

2125 Northpoint Blvd
Hixson, TN 37343
Phone (423) 875-3367

9408 Apison Pike
Ste 150
Ooltewah, TN 37363
Phone (423) 396-3004

222 Sequoyah Rd
Ste 4
Soddy Daisy, TN 37379
Phone (423) 332-3601

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1498521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766361600000",
    "number": "1790205060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 BUTTERFIELD RD STE 1600",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605151211",
            "telephone_number": "866-370-8206",
            "fax_number": "517-435-3670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3261 HIGHWAY 49",
            "city": "COLLINS",
            "state": "MS",
            "postal_code": "394283876",
            "telephone_number": "601-765-0519"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "97 Gateway Business Park Dr",
            "address_purpose": "LOCATION",
            "city": "Ringgold",
            "state": "GA",
            "postal_code": "307367395",
            "country_code": "US",
            "telephone_number": "706-937-5771",
            "fax_number": "706-701-2144",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHMIDTBERGER",
        "first_name": "HAYLEY RAE",
        "middle_name": "EVELYN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-27",
        "last_updated": "2025-12-22",
        "certification_date": "2025-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MS",
            "license": "PT6150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HAYLEY-RAE",
            "last_name": "TILLMAN",
            "middle_name": "EVELYN",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Collins, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2025; 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.