Active NPI
Harlan Oscar Hagle, COTA
- Occupational Therapy Assistant
- Irving, TX
National Provider Identifier
1275740631
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 207868
- Practice address
- 8615 Freeport Pkwy
225
Irving, TX 75063-2576 - Phone
- (972) 812-3299
- NPI assigned
- May 16, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 207868 | TX | Primary |
Addresses
Primary practice location
8615 Freeport Pkwy
225
Irving, TX 75063-2576
Mailing address
1600 Amelia CT Apt 1012
Plano, TX 75075-6123
Phone (469) 467-6838
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 207868 | TX | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1275740631",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600 AMELIA CT APT 1012",
"city": "PLANO",
"state": "TX",
"postal_code": "750756123",
"telephone_number": "469-467-6838"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8615 FREEPORT PKWY",
"address_2": "225",
"city": "IRVING",
"state": "TX",
"postal_code": "750632576",
"telephone_number": "972-812-3299"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAGLE",
"first_name": "HARLAN",
"middle_name": "OSCAR",
"name_prefix": "Mr.",
"credential": "COTA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "TX",
"license": "207868",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Irving, TX
Sources for this page
- 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.