Eliza Hastie

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT032658 Issued in PA

Practice address

4250 Wissahickon Ave Ste 1003
Philadelphia, PA 19129-1215

Phone

(267) 519-9209

NPI assigned

Sep 9, 2024

Last updated

Sep 13, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Enrolled in PA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Novacare Outpatient Rehabilitation East, Inc.

  dba NovaCare Rehabilitation

  • Physical Therapy Clinic/Center
  • Ligonier, PA
  • NPI 1487010583

  Physical Therapist

  Medicare reassignment NPD
• Novacare Outpatient Rehabilitation East Inc

  dba NovaCare Rehabilitation

  • Physical Therapy Clinic/Center
  • Collegeville, PA
  • NPI 1073512968
  NPD
• Novacare Outpatient Rehabilitation East Inc

  dba NovaCare Rehabilitation

  • Physical Therapy Clinic/Center
  • Rochester Hills, MI
  • NPI 1245235191
  NPD

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

{
    "created_epoch": "1725840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726185600000",
    "number": "1093541948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4250 WISSAHICKON AVE STE 1003",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191291215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4250 WISSAHICKON AVE STE 1003",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191291215",
            "telephone_number": "267-519-9209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASTIE",
        "first_name": "ELIZA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-09",
        "last_updated": "2024-09-13",
        "certification_date": "2024-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT032658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Hassey, CRNP
• Matthew Hassey, O,D.
• Kelsey Hassig, DO
• Jared Rhe Hassler, M.D.
• Fatema Esaa Hassonjee, MD
• Rhonda Haston, MD
• Ashley Hasulak
• Hiroto Hatabu, M.D.
• Thomas R Hatala, CRNA
• Amanda Lynne Hatalski, PA-C

• Physical Therapist in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.