Individual provider Active NPI

Richard Henry Haglen, MSPT, CSCS

  • Physical Therapist
  • Delray Beach, FL
National Provider Identifier
1124083829
Registry record updated Mar 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT015010 Issued in PA
Practice address
200 Lindell Blvd
Suite 922
Delray Beach, FL 33483-3265
Phone
(561) 278-6770
Fax
(561) 278-6771
NPI assigned
Apr 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT015010 PA Primary
Physical Therapist 225100000X PT19964 FL

Addresses

Primary practice location

200 Lindell Blvd
Suite 922
Delray Beach, FL 33483-3265

Mailing address

2850 Commerce Dr
Suite 100
Harrisburg, PA 17110-9383
Phone (717) 541-4348

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": "1145318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206489600000",
    "number": "1124083829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2850 COMMERCE DR",
            "address_2": "SUITE 100",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171109383",
            "telephone_number": "717-541-4348",
            "fax_number": "717-541-9576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 LINDELL BLVD",
            "address_2": "SUITE 922",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334833265",
            "telephone_number": "561-278-6770",
            "fax_number": "561-278-6771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGLEN",
        "first_name": "RICHARD",
        "middle_name": "HENRY",
        "credential": "MSPT, CSCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-18",
        "last_updated": "2008-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT015010",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT19964",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delray Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 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.

Verify at the official NPI Registry.