Adam Christopher Hagely, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT36499 Issued in FL

Practice address

1590 State RT 15a
Suite B
Deland, FL 32720

Phone

(386) 734-9400

NPI assigned

Nov 18, 2020

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

Networks

• Freedom Health HMO Network
• Optimum HealthCare HMO Network

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

{
    "created_epoch": "1605657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605657600000",
    "number": "1073116505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 BURNING WICK PL",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321378801",
            "telephone_number": "818-445-4549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1590 STATE RT 15A",
            "address_2": "SUITE B",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "32720",
            "telephone_number": "386-734-9400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGELY",
        "first_name": "ADAM",
        "middle_name": "CHRISTOPHER",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-11-18",
        "last_updated": "2020-11-18",
        "certification_date": "2020-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT36499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• April Gustafson, APRN
• Mallory M Gustafson, ARNP
• Misty Gutierrez, RN
• GV Deland, LLC
• Bridget C Hackett, LMHC
• Edrian J Hairston, MS ATC LAT
• Kerri Hall
• Zaria Hall, MHC-LP
• Amanda Hallock, LM
• Rosalynn Jeanne Hamilton, ARNP, AP

• Physical Therapist in Deland, FL
• Providers in Deland, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2020; 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.