Tracey Hazen, LPTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

1102 Issued in CT

Practice address

220 Scoville Rd
Avon, CT 06001-2515

Phone

(860) 677-2934

NPI assigned

Sep 14, 2012

Last updated

Sep 14, 2012By the provider in NPPES

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

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

{
    "created_epoch": "1347580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347580800000",
    "number": "1073863346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 SCOVILLE RD",
            "city": "AVON",
            "state": "CT",
            "postal_code": "060012515",
            "telephone_number": "860-677-2934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 SCOVILLE RD",
            "city": "AVON",
            "state": "CT",
            "postal_code": "060012515",
            "telephone_number": "860-677-2934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAZEN",
        "first_name": "TRACEY",
        "name_prefix": "Ms.",
        "credential": "LPTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-14",
        "last_updated": "2012-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CT",
            "license": "1102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Harvest Medical
• Meagan Kellie Harvey, PT, DPT
• Sheldon S. Hausman, D.M.D
• Nora Elizabeth Hawley, LCSW
• Gabriel M. Hayek, MD, DMD
• Health Plusone Corporation (Home Helpers Central Connecticut)
• Christine Hedberg
• Helena E Gagnon
• Help at Home, Inc.
• Sharon F Henderson, OD

• Physical Therapy Assistant in Avon, CT
• Providers in Avon, CT by specialty
• Physical Therapy Assistant in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2012; 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.