Individual provider Active NPI

Annika Hayman, PT, DPT

  • Physical Therapist
  • Redmond, WA
National Provider Identifier
1790332229
Registry record updated Aug 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
60978065 Issued in WA
Practice address
2569 152ND Ave NE
Redmond, WA 98052-5549
Phone
(425) 497-8180
NPI assigned
Aug 20, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2019

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 60978065 WA Primary

Addresses

Primary practice location

2569 152ND Ave NE
Redmond, WA 98052-5549

Mailing address

9411 225TH Way NE
Redmond, WA 98053-2028
Phone (425) 233-1663

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221111002170 OR Practitioner - Physical Therapist in Private Practice 1951778471 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bridgetown Physical Therapy and Training Studio PCGroup PAC ID 2264514652, 13 clinicians

Practice addresses (Care Compare)

1500 SW 1St Ave
Suite 150
Portland, OR 97201-5900
Phone (503) 222-1955

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
60978065WAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bridgetown Physical Therapy and Training Studio, PC Physical Therapist CurrentSince Oct 3, 2022 Accepting new patients
PT Pro Inc. PastSince Aug 25, 2019 Accepting new patients

Locations

1500 SW 1st Ave
Ste 150
Portland, OR 97201
Phone (503) 222-1955

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": "1566259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566259200000",
    "number": "1790332229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9411 225TH WAY NE",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980532028",
            "telephone_number": "425-233-1663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2569 152ND AVE NE",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980525549",
            "telephone_number": "425-497-8180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYMAN",
        "first_name": "ANNIKA",
        "name_prefix": "Ms.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-20",
        "last_updated": "2019-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "60978065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redmond, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2019; 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.