Jonathan David Haas, D.P.T.

Primary specialty

Clinical Electrophysiology Physical TherapistTaxonomy code 2251E1300X

License

4356 Issued in SC

Practice address

109 Pepperwood Dr
Greenville, SC 29611-7474

Phone

(864) 525-8550

NPI assigned

Aug 30, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

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• Dr. Sonya M Clark P.C.

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  • NPI 1740846393
  NPD

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

{
    "created_epoch": "1314662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644451200000",
    "number": "1386925758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 PEPPERWOOD DR",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296117474",
            "telephone_number": "864-525-8550",
            "fax_number": "864-269-7196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 PEPPERWOOD DR",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296117474",
            "telephone_number": "864-525-8550"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "115 Brushy Creek Rd",
            "address_2": "Advanced Physical Therapy",
            "address_purpose": "LOCATION",
            "city": "Easley",
            "state": "SC",
            "postal_code": "296421120",
            "country_code": "US",
            "telephone_number": "864-525-8550",
            "fax_number": "864-269-7196",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAAS",
        "first_name": "JONATHAN",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "D.P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-08-30",
        "last_updated": "2022-02-10",
        "certification_date": "2022-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251E1300X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Electrophysiology, Clinical",
            "state": "SC",
            "license": "4356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gynecologic Oncology Associates, P.a.
• H and M Labs and Clinics, LLC
• H.E.L.P. Healthcare Services, LLC
• H.O.P.E. Advancement, Inc.
• Daniel J Haas, OD
• Trevor Haas
• Haberkorn Vision, LLC
• Brandi M Habina, BCBA
• Andrew Ernest Hack, MD
• Bassam E Haddad, M.D.

• Physical Therapist in Greenville, SC
• Providers in Greenville, SC by specialty
• Physical Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2022; 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.