NPIMap

Organization Active NPI

Hae/PT, LLC

  • Physical Therapy Clinic/Center
  • Wakefield, MA
National Provider Identifier
1366050106
Registry record updated Jul 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
HAE/PT, LLC
Practice address
3 Jessica LN
Wakefield, MA 01880-1252
Phone
(617) 851-5315
NPI assigned
Jul 17, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2020

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

Authorized official

Name
Katie Wadland, PT, DPTNPI 1285954289
Title
Owner and Physical Therapist
Phone
(617) 851-5315

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

3 Jessica LN
Wakefield, MA 01880-1252

Mailing address

3 Jessica LN
Wakefield, MA 01880-1252
Phone (617) 851-5315

Other names 1

  • HAE/PT Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address katie@healthyagingessentials.com Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200909000580 MA Part B Supplier - Clinic/Group Practice 6800214883 Receives reassigned benefits from 23 practitioners
Practice locations: Wakefield, MA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 29

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 29

NPI Registry JSON

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

{
    "created_epoch": "1594944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594944000000",
    "number": "1366050106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 JESSICA LN",
            "city": "WAKEFIELD",
            "state": "MA",
            "postal_code": "018801252",
            "telephone_number": "617-851-5315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 JESSICA LN",
            "city": "WAKEFIELD",
            "state": "MA",
            "postal_code": "018801252",
            "telephone_number": "617-851-5315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAE/PT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-17",
        "last_updated": "2020-07-17",
        "certification_date": "2020-07-17",
        "status": "A",
        "authorized_official_last_name": "WADLAND",
        "authorized_official_first_name": "KATIE",
        "authorized_official_title_or_position": "OWNER AND PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "617-851-5315",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "katie@healthyagingessentials.com",
            "affiliation": "N",
            "endpointDescription": "G-Suite Hippa Protected email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Email and documents",
            "address_1": "3 Jessica Ln",
            "city": "Wakefield",
            "state": "MA",
            "country_code": "US",
            "postal_code": "018801252",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "HAE/PT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wakefield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2020; 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.