Bao Ha

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

13161704-2402 Issued in UT

Practice address

1787 E Fort Union Blvd Ste 101
Salt Lake City, UT 84121-2868

Phone

(801) 674-0685

NPI assigned

Aug 24, 2026

Last updated

Aug 24, 2026By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1787529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787529600000",
    "number": "1194631580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2594 N 850 W",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846041271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1787 E FORT UNION BLVD STE 101",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841212868",
            "telephone_number": "801-674-0685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HA",
        "first_name": "BAO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-08-24",
        "last_updated": "2026-08-24",
        "certification_date": "2026-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "UT",
            "license": "13161704-2402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Guzman
• Helen Gwen
• Vanina Judith Gwilliam
• Lahela L Gwynn, CMHC
• H&H Medical Corporation
• Bryce Haac, M.D.
• Jason Hyrum Haack
• Brittany Marie Haacke
• Kristen Haacke
• Leticia Haacke, LCSW

• Physical Therapy Assistant in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Physical Therapy Assistant in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2026; 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.