Annette Haggstrom, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

06004852A Issued in IN

Practice address

66 S 12TH St
Terre Haute, IN 47807-3941

Phone

(812) 299-9900

NPI assigned

Sep 25, 2014

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

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.

• Legacy Healthcare Services Inc

  • Physical Therapist
  • Cary, NC
  • NPI 1225879489
  NPD (past)

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

{
    "created_epoch": "1411603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411603200000",
    "number": "1295137933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1716 COBBLESTONE WAY N",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478024283",
            "telephone_number": "731-676-7258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 S 12TH ST",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478073941",
            "telephone_number": "812-299-9900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGGSTROM",
        "first_name": "ANNETTE",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-25",
        "last_updated": "2014-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "IN",
            "license": "06004852A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maeggan Haase, BCBA
• Irving I. Haber, D.O.
• Robert Haerr, MD
• Jessica Hagan, NP
• Erin Haggart, PHARMD
• Evan Hale
• Ginny Hale, OTR
• Corinne Rose Haley, NP
• Bailee Hall, RBT
• Haley Annette Hall, MD

• Physical Therapy Assistant in Terre Haute, IN
• Providers in Terre Haute, IN by specialty
• Physical Therapy Assistant in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2014; 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.