Ian Haslam, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT029066 Issued in PA

Practice address

708 Main St
Harleysville, PA 19438-1636

Phone

(267) 932-9177

Fax

(267) 932-9180

NPI assigned

Nov 19, 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

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Neurology Psychiatry and Balance Therapy Center LLCGroup PAC ID 0042473456, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/10825/brand/1/csg/1/fhir/r4
• Direct secure messaging: ian.haslam.1@10825.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Neurology Psychiatry and Balance Therapy Center LLC

  • Neurology Physician
  • Blue Bell, PA
  • NPI 1932466729

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Physical Therapy and Wellness Institute LLC

  • Physical Therapist
  • Lansdale, PA
  • NPI 1740208339
  Medicare reassignment NPD
• Progress Physical Therapy LLC

  • Physical Therapist
  • Philadelphia, PA
  • NPI 1164851085
  NPD

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

{
    "created_epoch": "1605744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620691200000",
    "number": "1124621446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1377 MOTOR PKWY STE 307",
            "city": "ISLANDIA",
            "state": "NY",
            "postal_code": "117495258",
            "telephone_number": "914-294-4050",
            "fax_number": "631-760-8306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "708 MAIN ST",
            "city": "HARLEYSVILLE",
            "state": "PA",
            "postal_code": "194381636",
            "telephone_number": "267-932-9177",
            "fax_number": "267-932-9180"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4114 Barberry Dr",
            "address_purpose": "LOCATION",
            "city": "Lafayette Hill",
            "state": "PA",
            "postal_code": "194441202",
            "country_code": "US",
            "telephone_number": "610-955-9506",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HASLAM",
        "first_name": "IAN",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-11-19",
        "last_updated": "2021-05-11",
        "certification_date": "2021-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT029066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "StrataPT",
            "affiliation": "N",
            "endpointDescription": "Electronic Medical Health Record",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4114 Barberry Dr",
            "city": "Lafayette Hill",
            "state": "PA",
            "country_code": "US",
            "postal_code": "194441202",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Harelysville Family Dentistry LLC
• Harleysville Area Emergency Medical Service, Inc.
• Harleysville Family Dentistry
• Harleysville Pediatric Home Care Inc
• Jill Harman, RPH
• Susan Lynn Hayes, RDN, LDN
• Samantha Heisler, DMD
• Hershey Orthotics and Therapy, LLC
• Hiram Peter Hershey, OTRL CHT
• Kathleen Mary Hindle, CNM, MSM

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.