Nathaniel Haas

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT022174 Issued in PA

Practice address

215 Sugartown Rd
Wayne, PA 19087-3137

Phone

(484) 582-0660

Fax

(484) 582-0666

NPI assigned

Jul 20, 2012

Sex

Male

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

Enrolled in PA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• Bounce Back Physical Therapy Inc.

  • Physical Therapy Clinic/Center
  • Wayne, PA
  • NPI 1972556835

  Physical Therapist

  Medicare reassignment NPD
• Bounce Back Physical Therapy Inc.

  • Physical Therapist
  • Ardmore, PA
  • NPI 1063921872
  NPD

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

{
    "created_epoch": "1342742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342742400000",
    "number": "1306191895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 SUGARTOWN RD",
            "city": "WAYNE",
            "state": "PA",
            "postal_code": "190873137",
            "telephone_number": "484-582-0660",
            "fax_number": "484-582-0666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 SUGARTOWN RD",
            "city": "WAYNE",
            "state": "PA",
            "postal_code": "190873137",
            "telephone_number": "484-582-0660",
            "fax_number": "484-582-0666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAAS",
        "first_name": "NATHANIEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-20",
        "last_updated": "2012-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT022174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Maia Guides, PSY.D.
• Subah Gupta, MHS, OTR/L
• Emily Quinn Gurtizen, MS, CCC-SLP
• Krista Janine Gydosh, OT
• Robert Gustav Haak, O.D.
• Lindsay Haberman
• Edda Briana Haggerty, M.S.ED.
• Courtney Hahn, OTR/L
• Andrea Hake, DOM
• Elizabeth Hall, MSN, APRN, FNP-BC

• Physical Therapist in Wayne, PA
• Providers in Wayne, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.