Active NPI
Hailey Dawn Hageness, M.S.O.T., OTR/L
- Occupational Therapist
- Manitowoc, WI
National Provider Identifier
1194043885
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 4872-26
- Practice address
- 1235 S 24TH St
Attn Rehabcare
Manitowoc, WI 54220-5516 - Phone
- (920) 682-8254
- NPI assigned
- May 6, 2010
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 4872-26 | WI | Primary |
Addresses
Primary practice location
1235 S 24TH St
Attn Rehabcare
Manitowoc, WI 54220-5516
Mailing address
2121 45TH St
Unit F
Two Rivers, WI 54241-1172
Phone (989) 621-5197
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 |
|---|---|---|---|
| 4872-26 | WI | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1273104000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1273104000000",
"number": "1194043885",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2121 45TH ST",
"address_2": "UNIT F",
"city": "TWO RIVERS",
"state": "WI",
"postal_code": "542411172",
"telephone_number": "989-621-5197"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1235 S 24TH ST",
"address_2": "ATTN REHABCARE",
"city": "MANITOWOC",
"state": "WI",
"postal_code": "542205516",
"telephone_number": "920-682-8254"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAGENESS",
"first_name": "HAILEY",
"middle_name": "DAWN",
"name_prefix": "Mrs.",
"credential": "M.S.O.T., OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-05-06",
"last_updated": "2010-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WI",
"license": "4872-26",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Manitowoc, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.