Craig M Hackett, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

0014 Issued in AZ

Practice address

2290 W 16TH St
Safford, AZ 85546-4081

Phone

(928) 428-4220

Fax

(928) 348-4234

NPI assigned

Nov 6, 2012

Last updated

Nov 6, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mt Graham Regional Medical Center Inc

  • Home Health Agency
  • Safford, AZ
  • NPI 1659337848
  NPD (past)
• Roadrunner Rehab Incorporated

  • Physical Therapist
  • Safford, AZ
  • NPI 1689749814
  NPD (past)

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

{
    "created_epoch": "1352160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352160000000",
    "number": "1245584614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2290 W 16TH ST",
            "city": "SAFFORD",
            "state": "AZ",
            "postal_code": "855464081",
            "telephone_number": "928-428-4220",
            "fax_number": "928-348-4234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2290 W 16TH ST",
            "city": "SAFFORD",
            "state": "AZ",
            "postal_code": "855464081",
            "telephone_number": "928-428-4220",
            "fax_number": "928-348-4234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HACKETT",
        "first_name": "CRAIG",
        "middle_name": "M",
        "credential": "ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-11-06",
        "last_updated": "2012-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "AZ",
            "license": "0014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Graham House LLC
• Gregg P Standage MD
• Kristopher Franz Gruber, PA-C
• Guardian Flight LLC
• Gail D Guerrero-Tucker, M.D.
• Randy Spencer Hann, PA-C
• Jacob E Hansen, DPT
• Hunter John Hanson
• Clayton Hargis, D.O.
• Douglas G Harrison, MD

• Athletic Trainer in Safford, AZ
• Providers in Safford, AZ by specialty
• Athletic Trainer in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2012; 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.