Sydney Davidson Haynes, PT, DPT in Longmont, CO - Medicare Physical Therapist In Private Practice Provider

Sydney Davidson Haynes, PT, DPT is a medicare enrolled "Physical Therapist" provider in Longmont, Colorado. She went to University Of Colorado School Of Medicine, Aurora and graduated in 2024 and has 1 years of diverse experience with area of expertise as Physical Therapist In Private Practice. She is a member of the group practice Peak Form Llc and her current practice location is 525 3rd Ave Ste 132, Longmont, Colorado. You can reach out to her office (for appointments etc.) via phone at (360) 383-7430.

Sydney Davidson Haynes is licensed to practice in Colorado (license number PTL.0020288) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1821809641.

Contact Information

	Sydney Davidson Haynes, PT, DPT
	525 3rd Ave Ste 132, Longmont, CO 80501-5816
	(360) 383-7430
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Sydney Davidson Haynes
Gender	Female
Speciality	Physical Therapist In Private Practice
Experience	1 Years
Location	525 3rd Ave Ste 132, Longmont, Colorado
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Sydney Davidson Haynes attended and graduated from University Of Colorado School Of Medicine, Aurora in 2024

NPI Data:

NPI Number: 1821809641
Provider Enumeration Date: 01/20/2025
Last Update Date: 01/20/2025

Medicare PECOS Information:

PECOS PAC ID: 2062938962
Enrollment ID: I20250423003368

Medical Identifiers

Medical identifiers for Sydney Davidson Haynes such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1821809641	NPI	-	NPPES
PTL.0020288	Other	CO	DORA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PTL.0020288 (Colorado)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Peak Form Llc	1052212495	6

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Sydney Davidson Haynes allows following entities to bill medicare on her behalf.

Provider Name	Peak Form Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1982718003 PECOS PAC ID: 1052212495 Enrollment ID: O20120831000550

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Sydney Davidson Haynes is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Sydney Davidson Haynes, PT, DPT 950 Grandview Mdws Dr Apt O203, Longmont, CO 80503-7771 Ph: (360) 383-7430	Sydney Davidson Haynes, PT, DPT 525 3rd Ave Ste 132, Longmont, CO 80501-5816 Ph: (360) 383-7430

Reviews and Comments

Physical Therapist in Longmont, CO

Brian Esterle, D.P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 1551 Professional Ln Unit 145, Longmont, CO 80501 Phone: 720-494-3290
Mr. Robert M Prater, PHYSICAL THEAPIST Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2059 Condor Ct, Longmont, CO 80503 Phone: 303-324-6242
Healther Lynn Stokes, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1551 Professional Ln, #145, Longmont, CO 80501 Phone: 720-494-3290 Fax: 720-494-3294
Crafted Physical Therapy Pllc Physical Therapist Medicare: Medicare Enrolled Practice Location: 701 Delaware Ave Unit E, Longmont, CO 80501 Phone: 720-204-4567
Kathleen Marie Stupansky, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1551 Professional Ln, #145, Longmont, CO 80501 Phone: 720-494-3290 Fax: 720-494-3294
Stephanie Marie Lyle Maxwell, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 395 S Pratt Pkwy, Longmont, CO 80501 Phone: 303-776-6200
Mr. Jason Donald Main, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1610 Dry Creek Dr, Longmont, CO 80503 Phone: 720-494-4750 Fax: 720-494-4751

Sydney Davidson Haynes, PT, DPT - Medicare Physical Therapist in Longmont, CO