Active NPI
Noam Hazan, DPT
- Physical Therapist
- Wellington, FL
National Provider Identifier
1295087716
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 30149
- Practice address
- 10487 Galleria St
Wellington, FL 33414-3157 - Phone
- (646) 670-8327
- NPI assigned
- Oct 8, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 035492 | NY | |
| Physical Therapist | 225100000X | 30149 | FL | Primary |
Addresses
Primary practice location
10487 Galleria St
Wellington, FL 33414-3157
Mailing address
10487 Galleria St
Wellington, FL 33414-3157
Phone (646) 670-8327
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30149 | FL | MD | Physical Therapist |
| 035492 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optimal Home Health Care LLC | Current | Accepting new patients |
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.
-
- Home Health Agency
- Aventura, FL
- NPI 1780232777
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1349654400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1432512000000",
"number": "1295087716",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10487 GALLERIA ST",
"city": "WELLINGTON",
"state": "FL",
"postal_code": "334143157",
"telephone_number": "646-670-8327"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10487 GALLERIA ST",
"city": "WELLINGTON",
"state": "FL",
"postal_code": "334143157",
"telephone_number": "646-670-8327"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAZAN",
"first_name": "NOAM",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-10-08",
"last_updated": "2015-05-25",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "035492",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "30149",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wellington, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 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.