Nancy Haas

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

6302 Issued in CA

Practice address

633 Lassen LN
Mount Shasta, CA 96067-9002

Phone

(530) 926-6010

Fax

(530) 926-6909

NPI assigned

Jul 27, 2015

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

State licenses

Practice roles

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

• Mt. Shasta Physical Therapy, Inc.

  • Physical Therapist
  • Mount Shasta, CA
  • NPI 1417098070
  NPD (past)

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

{
    "created_epoch": "1437955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437955200000",
    "number": "1225413602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "633 LASSEN LN",
            "city": "MOUNT SHASTA",
            "state": "CA",
            "postal_code": "960679002",
            "telephone_number": "530-926-6010",
            "fax_number": "530-926-6909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "633 LASSEN LN",
            "city": "MOUNT SHASTA",
            "state": "CA",
            "postal_code": "960679002",
            "telephone_number": "530-926-6010",
            "fax_number": "530-926-6909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAAS",
        "first_name": "NANCY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-27",
        "last_updated": "2015-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "6302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Golden Eagle Charter School
• Rafaela Gomes-Matos
• Good Medicine a Medical Corporation
• Matthew J Grannan
• Todd Guthrie, M.D.
• Jacqueline Carol Hagerty, RDH,RDHAP, MBA
• Jack Leroy Haling, MD
• Peter Spelman Halt, M.D.
• John M. Harch, M.D.
• Ramalee J Harnish, MA, LMFT

• Physical Therapy Assistant in Mount Shasta, CA
• Providers in Mount Shasta, CA by specialty
• Physical Therapy Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2015; 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.