Individual provider Active NPI

Zachary Charles Haulman, PT, DPT, OCS

  • Physical Therapist
  • Altoona, PA
National Provider Identifier
1386082485
Registry record updated Mar 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT022751 Issued in PA
Practice address
2900 Beale Ave Ste 110
Altoona, PA 16601
Phone
(814) 515-9851
NPI assigned
Jun 11, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X PT022751 PA
Physical Therapist 225100000X PT022751 PA Primary

Addresses

Primary practice location

2900 Beale Ave Ste 110
Altoona, PA 16601

Mailing address

2900 Beale Ave
Altoona, PA 16601-1710
Phone (814) 515-9851

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130805000318 PA Practitioner - Physical Therapist in Private Practice 9931341989 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Haulman Physical Therapy LLCGroup PAC ID 6507241478, 4 clinicians

Practice addresses (Care Compare)

2927 Beale Ave
Altoona, PA 16601-1777
Phone (814) 934-9504

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT022751PAMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Haulman Physical Therapy LLC Physical Therapist CurrentSince Jun 27, 2022 Accepting new patients

Locations

2927 Beale Ave
Altoona, PA 16601
Phone (814) 934-9504

2927 Beale Ave
Ste E110
Altoona, PA 16601
Phone (814) 935-7179

Organizations & group practices 1

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": "1370908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646784000000",
    "number": "1386082485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 BEALE AVE",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166011710",
            "telephone_number": "814-515-9851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 BEALE AVE STE 110",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "16601",
            "telephone_number": "814-515-9851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAULMAN",
        "first_name": "ZACHARY",
        "middle_name": "CHARLES",
        "credential": "PT, DPT, OCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-11",
        "last_updated": "2022-03-09",
        "certification_date": "2022-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "PA",
            "license": "PT022751",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT022751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Altoona, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2022; 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.