Active NPI
Paul J Haag, LMT (LICENSED MASSAG
- Massage Therapist
- Petersburg, AK
National Provider Identifier
1184434375
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 145177
- Practice address
- 401 Hausen Dr #103
Petersburg, AK 99833 - Phone
- (907) 772-2765
- NPI assigned
- Jan 9, 2025
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 145177 | AK | Primary |
Addresses
Primary practice location
401 Hausen Dr #103
Petersburg, AK 99833
Mailing address
PO Box 404
Petersburg, AK 99833
Phone (512) 434-0943
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 145177 | AK | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1736380800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736380800000",
"number": "1184434375",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 404",
"city": "PETERSBURG",
"state": "AK",
"postal_code": "99833",
"telephone_number": "512-434-0943"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 HAUSEN DR #103",
"city": "PETERSBURG",
"state": "AK",
"postal_code": "99833",
"telephone_number": "907-772-2765"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAAG",
"first_name": "PAUL",
"middle_name": "J",
"credential": "LMT (LICENSED MASSAG",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-01-09",
"last_updated": "2025-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "AK",
"license": "145177",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Petersburg, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.