Kristen Lassiter Hazlett, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

A6123 Issued in NC

Practice address

3726B Battleground Ave
Greensboro, NC 27410-2344

Phone

(336) 265-6731

NPI assigned

Nov 17, 2021

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

Locations

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.

• Calso Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Greensboro, NC
  • NPI 1790289387
  NPD

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

{
    "created_epoch": "1637107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637107200000",
    "number": "1255098935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5505 BELMONT DR APT 202",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271066499",
            "telephone_number": "985-264-0957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3726B BATTLEGROUND AVE",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274102344",
            "telephone_number": "336-265-6731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAZLETT",
        "first_name": "KRISTEN",
        "middle_name": "LASSITER",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-17",
        "last_updated": "2021-11-17",
        "certification_date": "2021-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NC",
            "license": "A6123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Ronald Haynes Jr., LPC
• Mary J. Haynes
• Tran Haynes, MS, LCAS-A
• Joshua Hayward
• Jackie Barber Haywood, AU.D.
• HCP Greensboro NC Opco, LLC (Brighton Gardens of Greensboro)
• Head and Heart Counseling, PLLC
• Barbara Slovak Head, LPA
• Headache Wellness Center PC
• Headache Wellness Center PC (EMG EEG Consultants)

• Physical Therapy Assistant in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Physical Therapy Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2021; 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.