Jason Hahn, RPT
Individual provider Active NPI Physical Therapist · Washburn, ND
NPI 1376721704 · NPPES record last updated Aug 20, 2008
Key facts
- NPI
- 1376721704
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 1455 (ND)
- Practice address
- 1177 Border LN
Washburn, ND 58577-0447 - Phone
- (701) 462-3396
- Fax
- (701) 462-3422
- NPI assigned
- Feb 7, 2008
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 13
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- St Alexius Medical Center
Practice addresses (Care Compare)
220 5TH Ave W
Turtle Lake, ND 58575-4324
Phone (701) 448-2331
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.48 of 100
- Quality
- 73.03
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 71.91
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ND
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080922000143 | ND | Practitioner - Physical Therapist in Private Practice | 1658448493 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Alexius Medical Center | Current | Accepting new patients | |
| St. Alexius Medical Center | Current |
Accepting new patients | |
| St. Alexius Medical Center | Current | Accepting new patients | |
| St Alexius Medical Center | Current |
Accepting new patients | |
| Community Memorial Hospital | Past | Accepting new patients |
Locations
220 5th Ave W
Turtle Lake, ND 58575
Phone (701) 448-2331
1177 Border Ln
Washburn, ND 58577
Phone (701) 462-3396
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1455 | ND | Yes |
Addresses
Primary practice location
1177 Border LN
Washburn, ND 58577-0447
Mailing address
220 5TH Ave W
Turtle Lake, ND 58575-0280
Phone (701) 448-2331
Other providers in Washburn, ND
- Dakota Central Social Services
- Jason C Fahlstrom
- Emma Catherine Rita Fleischacker
- Alyce M Goetz
- Jill Renee Goven
- Ryan Robert Hamrick
- Maurice Hardy
- Jenni Hetletved
- Frederick Randolph Hinson
- Randall Paul Hojian
All providers in Washburn, ND · Physical Therapist in North Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 20, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.