Peter J. Hazzard, P.T.A.

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PT A-0429 Issued in NV

Practice address

3955 Swenson St Apt 381
Las Vegas, NV 89119-7261

Phone

(702) 369-4450

NPI assigned

Apr 10, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194948950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 MEMOLI LN APT B3",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339196339",
            "telephone_number": "702-259-9601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3955 SWENSON ST APT 381",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891197261",
            "telephone_number": "702-369-4450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAZZARD",
        "first_name": "PETER",
        "middle_name": "J.",
        "credential": "P.T.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PT A-17349",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NV",
            "license": "PT A-0429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Maria Hazen, MS, CCC-SLP
• Melanie Joyce Hazen, APN
• Nazanin Hazhir Karzar, MD
• Diana Hazim
• Haztech Mso LLC
• Rabiyyah H. Hazziez, D.C.
• HC 168 LLC
• HCGR & Associates, LLC
• HCGR & Associates, LLC
• HCGR & Associates, LLC

• Physical Therapy Assistant in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Physical Therapy Assistant in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.