Jason Hazelett, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

05006433A Issued in IN

Practice address

5800 Fairfield Ave Ste 150
Fort Wayne, IN 46807-3450

Phone

(260) 744-5585

Fax

(260) 744-5586

NPI assigned

Jul 1, 2005

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

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

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 and National Provider Directory roles.

• Steppin Up Physical Therapy, Inc.

  • Physical Therapist
  • Fort Wayne, IN
  • NPI 1043296510
  Medicare reassignment NPD Authorized official
• Steppin Up Physical Therapy, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Fort Wayne, IN
  • NPI 1215005624
  NPD Authorized official

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

{
    "created_epoch": "1120176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1227225600000",
    "number": "1346247681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5800 FAIRFIELD AVE STE 150",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468073450",
            "telephone_number": "260-744-5585",
            "fax_number": "260-744-5586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5800 FAIRFIELD AVE STE 150",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468073450",
            "telephone_number": "260-744-5585",
            "fax_number": "260-744-5586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAZELETT",
        "first_name": "JASON",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-01",
        "last_updated": "2008-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05006433A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200195670",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P002239911",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rebecca L Haynes, NP
• Kylee P Hays, LSW
• Travis R Hays, MD
• Sherry Lynn Haywood, LAC
• Alexandra Hazelet
• HB Health, LLC
• Healing at Home LLC
• Healing Connections Counseling LLC
• Healing Horizons Homecare LLC
• Healing Perspectives Counseling Center, LLC

• Physical Therapist in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Physical Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2008; 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.