Shane Edward Haas, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1119246 Issued in TX

Practice address

5606 Geneva Ave
Lubbock, TX 79413-4824

Phone

(806) 797-3805

Fax

(806) 797-0140

NPI assigned

Jun 9, 2006

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)

Enrolled

State licenses

Practice roles

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.

• Onsite Ergonomics and Rehabilitation Inc.

  • Rehabilitation Clinic/Center
  • Lubbock, TX
  • NPI 1437488202
  NPD (past) Authorized official
• Onsite Ergonomics and Rehabilitation Inc.

  • Physical Therapist
  • Lubbock, TX
  • NPI 1720223399
  NPD (past) Authorized official

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265587200000",
    "number": "1013958289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5606 GENEVA AVE",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794134824",
            "telephone_number": "806-797-3805",
            "fax_number": "806-797-0140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5606 GENEVA AVE",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794134824",
            "telephone_number": "806-797-3805",
            "fax_number": "806-797-0140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAAS",
        "first_name": "SHANE",
        "middle_name": "EDWARD",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-09",
        "last_updated": "2010-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1119246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clarence Dobgima Gwanbobmuga
• Josi Gwin
• Gynecologic Oncology Associates PLLC
• H-E-B, LP
• H. E. Amarillo, LLC
• Victoria Haas
• Zaina Habrawi, MD
• Clint Wes Hacker, PT
• Jacquelyn Elaine Hacker, MPT
• Robin Hackett, D.C.

• Physical Therapist in Lubbock, TX
• Providers in Lubbock, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2010; 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.