Active NPI
Kyle Allen Haake, PT
- Physical Therapist
- Indianola, IA
National Provider Identifier
1326570201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 086035
- Practice address
- 307 E Scenic Valley Ave
Suite 300
Indianola, IA 50125-4865 - Phone
- (515) 643-9109
- Fax
- (515) 643-9138
- NPI assigned
- Mar 30, 2017
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 086035 | IA | Primary |
Addresses
Primary practice location
307 E Scenic Valley Ave
Suite 300
Indianola, IA 50125-4865
Mailing address
PO Box 1475
Des Moines, IA 50305-1475
Phone (515) 643-9109
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490832000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1490832000000",
"number": "1326570201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1475",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503051475",
"telephone_number": "515-643-9109",
"fax_number": "515-643-9138"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "307 E SCENIC VALLEY AVE",
"address_2": "SUITE 300",
"city": "INDIANOLA",
"state": "IA",
"postal_code": "501254865",
"telephone_number": "515-643-9109",
"fax_number": "515-643-9138"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAAKE",
"first_name": "KYLE",
"middle_name": "ALLEN",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-03-30",
"last_updated": "2017-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IA",
"license": "086035",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Indianola, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.