Sydney Davidson Haynes, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PTL.0020288 Issued in CO

Practice address

525 3Rd Ave Ste 132
Longmont, CO 80501-5816

Phone

(360) 383-7430

NPI assigned

Jan 20, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sydney.haynes.1@25213.direct.athenahealth.com

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.

• Peak Form LLC

  • Physical Medicine & Rehabilitation Physician
  • Boulder, CO
  • NPI 1982718003

  Physical Therapist

  Medicare reassignment NPD
• Peak Form LLC

  • Physical Medicine & Rehabilitation Physician
  • Greeley, CO
  • NPI 1851113385

  Physical Therapist

  NPD

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

{
    "created_epoch": "1737331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737331200000",
    "number": "1821809641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 GRANDVIEW MDWS DR APT O203",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805037771",
            "telephone_number": "360-383-7430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 3RD AVE STE 132",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805015816",
            "telephone_number": "360-383-7430"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "525 3rd Ave Ste 132O203",
            "address_purpose": "LOCATION",
            "city": "Longmont",
            "state": "CO",
            "postal_code": "805015978",
            "country_code": "US",
            "telephone_number": "360-383-7430",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAYNES",
        "first_name": "SYDNEY",
        "middle_name": "DAVIDSON",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-20",
        "last_updated": "2025-01-20",
        "certification_date": "2025-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL.0020288",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DORA",
            "identifier": "PTL.0020288",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• April Christina Haukoos, A.R.N.P.
• Daniel Hauser
• Havrilla Vision Professional LLC
• Constance Hayden, MS, PTA
• Robert Haydock
• Headache & TMJ Center
• Healingquest LLP
• Healogics Specialty Physicians of Colorado-Professional, LLC
• Healthful Living LLC
• Healthy Gut, LLC

• Physical Therapist in Longmont, CO
• Providers in Longmont, CO by specialty
• Physical Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2025; 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.