Kelley K Haga, L.P.T.A., A.T.C.

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2306601430 Issued in VA

Practice address

1152 Snider St
Marion, VA 24354-4216

Phone

(276) 782-9696

Fax

(276) 782-9886

NPI assigned

Jun 3, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Smyth County Community Hospital

  • Durable Medical Equipment & Medical Supplies
  • Marion, VA
  • NPI 1750433389
  NPD (past)

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

{
    "created_epoch": "1464912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464912000000",
    "number": "1376991083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "624 MUSSERS MILL RD",
            "city": "CROCKETT",
            "state": "VA",
            "postal_code": "243233039",
            "telephone_number": "276-686-5491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1152 SNIDER ST",
            "city": "MARION",
            "state": "VA",
            "postal_code": "243544216",
            "telephone_number": "276-782-9696",
            "fax_number": "276-782-9886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGA",
        "first_name": "KELLEY",
        "middle_name": "K",
        "credential": "L.P.T.A.,  A.T.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-03",
        "last_updated": "2016-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "VA",
            "license": "2306601430",
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "VA",
            "license": "0126000330",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Green
• Brittany Samaniego Greer
• Hannah Nicole Greer
• Jennifer Dempsey Greer, LCSW
• Robin Greer, COTA/L
• Joshua Michael Hale, LPC
• Robert Lee Hale, M.D.
• April Dawn Hutton Hall, LPC
• Jamie Deresa Hall, F. N.P., G.N.P.
• Kenneth Dale Hall, RPH

• Physical Therapy Assistant in Marion, VA
• Providers in Marion, VA by specialty
• Physical Therapy Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.