Active NPI
Denise Renea Hageman, OTR
- Occupational Therapist
- Kingman, KS
National Provider Identifier
1043362254
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 17-01630
- Practice address
- 301 N Main St
Kingman, KS 67068-1335 - Phone
- (620) 532-3300
- Fax
- (620) 532-3635
- NPI assigned
- Jan 17, 2007
- Last updated
- Jan 31, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 17-01630 | KS | Primary |
Addresses
Primary practice location
301 N Main St
Kingman, KS 67068-1335
Mailing address
301 N Main St
PO Box 46
Kingman, KS 67068-1335
Phone (620) 532-3300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17-01630 | KS | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aspire Physical Therapy Inc | Occupational Therapist | Past | Accepting new patients |
| HMS Rehabilitation Inc | Occupational Therapist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Occupational Therapist
- Kingman, KS
- NPI 1508044827
-
- Occupational Therapist
- Kingman, KS
- NPI 1609972181
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1201737600000",
"number": "1043362254",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 N MAIN ST",
"address_2": "PO BOX 46",
"city": "KINGMAN",
"state": "KS",
"postal_code": "670681335",
"telephone_number": "620-532-3300",
"fax_number": "620-532-3635"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 N MAIN ST",
"city": "KINGMAN",
"state": "KS",
"postal_code": "670681335",
"telephone_number": "620-532-3300",
"fax_number": "620-532-3635"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAGEMAN",
"first_name": "DENISE",
"middle_name": "RENEA",
"credential": "OTR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-17",
"last_updated": "2008-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "KS",
"license": "17-01630",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kingman, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.