Kelly Haag

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

Practice address

1802 N Jackson St
Suite 820
Tullahoma, TN 37388-8218

Phone

(931) 455-5335

NPI assigned

Aug 30, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

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

Practice roles

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

• Select Physical Therapy Holdings, Inc.

  dba Select Physical Therapy

  • Rehabilitation Clinic/Center
  • Murfreesboro, TN
  • NPI 1427011915
  NPD (past)

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1205946191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "599 OLD SEMINARY RD",
            "city": "MANCHESTER",
            "state": "TN",
            "postal_code": "373557705",
            "telephone_number": "931-728-8601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1802 N JACKSON ST",
            "address_2": "SUITE 820",
            "city": "TULLAHOMA",
            "state": "TN",
            "postal_code": "373888218",
            "telephone_number": "931-455-5335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAAG",
        "first_name": "KELLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Annie Grimes, PHARMD
• Danielle Knight Gruber, BSW
• Gulla Bala Krishna MD PC
• Rimda Gupta, M.D.
• Kahly Marie Gurule, RN
• Natascha Haggard, FNP-C
• Paul M Haidak, MD
• Jennifer Hall
• William Dyrk Halstead, MD
• Jessica Smith Hamm, LPC, MHSP

• Physical Therapy Assistant in Tullahoma, TN
• Providers in Tullahoma, TN by specialty
• Physical Therapy Assistant in Tennessee

• 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.