Jerrica Rose Hager, P.T.A.

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

008581-1 Issued in NY

Practice address

5570 Main St
Williamsville, NY 14221-5477

Phone

(716) 250-4132

Fax

(888) 317-0495

NPI assigned

Feb 14, 2013

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

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": "1360800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360800000000",
    "number": "1003155839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2811 PRATT RD",
            "address_2": "APT A",
            "city": "BATAVIA",
            "state": "NY",
            "postal_code": "140209422",
            "telephone_number": "716-783-2771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5570 MAIN ST",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142215477",
            "telephone_number": "716-250-4132",
            "fax_number": "888-317-0495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGER",
        "first_name": "JERRICA",
        "middle_name": "ROSE",
        "name_prefix": "Mrs.",
        "credential": "P.T.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-14",
        "last_updated": "2013-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NY",
            "license": "008581-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mariah Kay Haddad
• Debbra L Hadden, ANP
• Nancy P. Hadyn-Hawkins, SLP
• Julia Anne Haeick, M.S. ED. CF-SLP
• Natalie Hage, M.D.
• Melinda Zampogna Haggerty, PH.D.
• Patricia Haguet, LPN
• Eithan W Hahn
• Samantha Hahn, LPN
• Sarah Hai, PA

• Physical Therapy Assistant in Williamsville, NY
• Providers in Williamsville, NY by specialty
• Physical Therapy Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2013; 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.