Lawrence Hazen

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT13027 Issued in CA

Practice address

1422 Monterey St
Suite C-102
San Luis Obispo, CA 93401-2944

Phone

(805) 543-5100

Fax

(805) 543-5106

NPI assigned

Mar 4, 2014

Last updated

Mar 4, 2014By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Spirit Winds Physical Therapy, Inc.

  • Physical Therapist
  • San Luis Obispo, CA
  • NPI 1942969258
  NPD

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

{
    "created_epoch": "1393891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393891200000",
    "number": "1316362080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1422 MONTEREY ST",
            "address_2": "SUITE C-102",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934012944",
            "telephone_number": "805-543-5100",
            "fax_number": "805-543-5106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1422 MONTEREY ST",
            "address_2": "SUITE C-102",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934012944",
            "telephone_number": "805-543-5100",
            "fax_number": "805-543-5106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAZEN",
        "first_name": "LAWRENCE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-03-04",
        "last_updated": "2014-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT13027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Norman James Hawthorne, M.D.
• Donna Kathleen Hayes, LPT
• Haleigh Hayes, RN
• Lyndal M Hayes
• Nadine Marie Haynes, LCSW
• William Headrick
• Heal the Brain With Jane
• Healthplus Pharmacy Inc (Healthplus Pharmacy)
• Hearing Solutions Hearing Aid Center Inc.
• Heartpoint Psychiatry and Wellness, a Professional Nursing Corporation

• Physical Therapist in San Luis Obispo, CA
• Providers in San Luis Obispo, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 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.