Active NPI
Scott Joseph Haggerty, D.C
- Chiropractor
- North Royalton, OH
National Provider Identifier
1245511815
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4215
- Practice address
- 12891 State Rd
North Royalton, OH 44133-3971 - Phone
- (440) 230-2300
- Fax
- (440) 230-2301
- NPI assigned
- Sep 8, 2011
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 4215 | OH | Primary |
Addresses
Primary practice location
12891 State Rd
North Royalton, OH 44133-3971
Mailing address
12891 State Road
North Royalton, OH 44133-3851
Phone (440) 230-2300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120222000320 | OH | Practitioner - Chiropractic | 8022276435 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4215 | OH | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elite Physical Therapy and Rehabilitation LLC | Current | Accepting new patients |
Locations
12891 State Rd
North Royalton, OH 44133
Phone (440) 230-2300
Organizations & group practices 1
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.
-
- Physical Therapist
- North Royalton, OH
- NPI 1164851952
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1315440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1410998400000",
"number": "1245511815",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12891 STATE ROAD",
"city": "NORTH ROYALTON",
"state": "OH",
"postal_code": "441333851",
"telephone_number": "440-230-2300",
"fax_number": "440-230-2301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12891 STATE RD",
"city": "NORTH ROYALTON",
"state": "OH",
"postal_code": "441333971",
"telephone_number": "440-230-2300",
"fax_number": "440-230-2301"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAGGERTY",
"first_name": "SCOTT",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "D.C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-09-08",
"last_updated": "2014-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OH",
"license": "4215",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Royalton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.