Individual provider Active NPI

Bryan K Haig, PT

  • Physical Therapist
  • Lawrenceville, NJ
National Provider Identifier
1356300495
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
QA00992400 Issued in NJ
Practice address
3131 Princeton Pike
BLDG. 1-a
Lawrenceville, NJ 08648-2201
Phone
(609) 912-0440
Fax
(609) 912-1908
NPI assigned
Mar 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X QA00992400 NJ Primary

Addresses

Primary practice location

3131 Princeton Pike
BLDG. 1-a
Lawrenceville, NJ 08648-2201

Mailing address

3131 Princeton Pike
BLDG. 1-a
Lawrenceville, NJ 08648-2201
Phone (609) 912-0440

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050718000246 NJ Practitioner - Physical Therapist in Private Practice 1153357538 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Berkowitz and Clancey, P.C.Group PAC ID 2860305281, 5 clinicians

Practice addresses (Care Compare)

136 Franklin Corner Rd
Suite 110
Lawrenceville, NJ 08648-2586
Phone (609) 912-0440

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
QA00992400NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Berkowitz and Clancey, P.C. CurrentSince Mar 1, 2007 Accepting new patients
Centers for Physical Therapy @ St. Frances Physical Therapist Past Accepting new patients
Hamilton Physical Therapy Services Physical Therapist Past Accepting new patients

Locations

136 Franklin Corner Rd
Ste 110
Lawrenceville, NJ 08648
Phone (609) 531-8939

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1142640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1356300495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3131 PRINCETON PIKE",
            "address_2": "BLDG. 1-A",
            "city": "LAWRENCEVILLE",
            "state": "NJ",
            "postal_code": "086482201",
            "telephone_number": "609-912-0440",
            "fax_number": "609-912-1908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3131 PRINCETON PIKE",
            "address_2": "BLDG. 1-A",
            "city": "LAWRENCEVILLE",
            "state": "NJ",
            "postal_code": "086482201",
            "telephone_number": "609-912-0440",
            "fax_number": "609-912-1908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAIG",
        "first_name": "BRYAN",
        "middle_name": "K",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "QA00992400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.