Individual provider Active NPI

Nicholas Hauge, DPT

  • Physical Therapist
  • Irving, TX
National Provider Identifier
1386012672
Registry record updated Sep 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1266240 Issued in TX
Practice address
2001 N Macarthur Blvd
Irving, TX 75061-2256
Phone
(972) 579-8155
NPI assigned
Sep 3, 2015
Last updated
Sep 3, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 3, 2015

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 1266240 TX Primary

Addresses

Primary practice location

2001 N Macarthur Blvd
Irving, TX 75061-2256

Mailing address

8591 Southwestern Blvd
Apt. 2738
Dallas, TX 75206-2376
Phone (815) 988-6382

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1266240TXMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1441238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441238400000",
    "number": "1386012672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8591 SOUTHWESTERN BLVD",
            "address_2": "APT. 2738",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752062376",
            "telephone_number": "815-988-6382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 N MACARTHUR BLVD",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750612256",
            "telephone_number": "972-579-8155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAUGE",
        "first_name": "NICHOLAS",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-09-03",
        "last_updated": "2015-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1266240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2015; 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.