Active NPI
Kathleen Dee Hagen, P.T.
- Physical Therapist
- Fountain Hills, AZ
National Provider Identifier
1114186004
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 7689
- Practice address
- 16455 E. Avenue of the Fountains
Fountain Hills, AZ 85268 - Phone
- (480) 816-5805
- Fax
- (801) 495-5303
- NPI assigned
- Jun 5, 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 7689 | AZ | Primary |
Addresses
Primary practice location
16455 E. Avenue of the Fountains
Fountain Hills, AZ 85268
Mailing address
16455 E. Avenue of the Fountains
Fountain Hills, AZ 85268
Phone (480) 816-5805
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212624000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1330905600000",
"number": "1114186004",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16455 E. AVENUE OF THE FOUNTAINS",
"city": "FOUNTAIN HILLS",
"state": "AZ",
"postal_code": "85268",
"telephone_number": "480-816-5805",
"fax_number": "480-816-5807"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16455 E. AVENUE OF THE FOUNTAINS",
"city": "FOUNTAIN HILLS",
"state": "AZ",
"postal_code": "85268",
"telephone_number": "480-816-5805",
"fax_number": "801-495-5303"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAGEN",
"first_name": "KATHLEEN",
"middle_name": "DEE",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-06-05",
"last_updated": "2012-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "7689",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fountain Hills, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 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.