Haley Ann Davidson, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT-1962 Issued in WY

Practice address

1951 Bluegrass Cir
Cheyenne, WY 82009-7355

Phone

(300) 777-8533

Fax

(307) 635-7578

NPI assigned

Jun 15, 2020

Last updated

May 11, 2023By the provider in NPPES

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 names 1

• Haley Ann Wadley Former name

Medicare fee-for-service enrollment

Enrolled in WY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Champlin Physical Therapy LLCGroup PAC ID 8022108380, 12 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

84.69 of 100Reported as individual

Quality

86.49

Improvement activities

40

Cost

66.97

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Champlin Physical Therapy, LLC

  dba Physical Therapy Center

  • Physical Therapist
  • Cheyenne, WY
  • NPI 1922288646
  Medicare reassignment Care Compare group NPD
• Hudson Valley Radiology Associates PLLC

  • Diagnostic Radiology Physician
  • New City, NY
  • NPI 1174574115
  NPD (past)

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

{
    "created_epoch": "1592179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683763200000",
    "number": "1881219889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1951 BLUEGRASS CIR",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820097355",
            "telephone_number": "307-777-8533",
            "fax_number": "307-635-7578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1951 BLUEGRASS CIR",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820097355",
            "telephone_number": "300-777-8533",
            "fax_number": "307-635-7578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIDSON",
        "first_name": "HALEY",
        "middle_name": "ANN",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-15",
        "last_updated": "2023-05-11",
        "certification_date": "2023-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WY",
            "license": "PT-1962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HALEY",
            "last_name": "WADLEY",
            "middle_name": "ANN",
            "credential": "PT, DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Gene E Darnell, RPH
• Brian Alan Daskivich, PH.D.
• Paulette Daugherty, LMT, NCMMT
• David M. Rummel, M.D., PC
• Alexandra Viola Davidson, MD
• Toni Monique Davidson, RN
• Vanessa D Davila
• Davis Dental PC
• A'Leah Syare Davis
• Abby Renae Davis

• Physical Therapist in Cheyenne, WY
• Providers in Cheyenne, WY by specialty
• Physical Therapist in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 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.