Thomas Hagan

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

P1 60084113 Issued in WA

Practice address

46409 287TH Ave SE
Enumclaw, WA 98022-7347

Phone

(360) 829-7242

NPI assigned

May 20, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1242777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242777600000",
    "number": "1003041096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 224",
            "city": "ENUMCLAW",
            "state": "WA",
            "postal_code": "980220224",
            "telephone_number": "360-829-7242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46409 287TH AVE SE",
            "city": "ENUMCLAW",
            "state": "WA",
            "postal_code": "980227347",
            "telephone_number": "360-829-7242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGAN",
        "first_name": "THOMAS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-20",
        "last_updated": "2009-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WA",
            "license": "P1 60084113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert C Gramann, MD
• Vera Grant, PAC
• Joan D. Green Ferguson, MS ED, LMHC
• Paul Gunderson, MD
• Gina Lanore Gwerder, ARNP
• Sara L Hall, CNM
• Stacey Hancock, L.M.P.
• Jennifer Hannaford, PCD (NAPS)
• Stephen B Harding, D.D.S.
• Jamie Lynn Hardy, CBT.CB.60986081

• Physical Therapy Assistant in Enumclaw, WA
• Providers in Enumclaw, WA by specialty
• Physical Therapy Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.