Jeremy Heath Hazelrigg, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

004483 Issued in KY

Practice address

55 Foundation Dr
Flemingsburg, KY 41041-9815

Phone

(606) 849-5090

NPI assigned

Nov 2, 2009

Last updated

Nov 2, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1257120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257120000000",
    "number": "1396071940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7269 MOREHEAD RD",
            "city": "FLEMINGSBURG",
            "state": "KY",
            "postal_code": "410418758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 FOUNDATION DR",
            "city": "FLEMINGSBURG",
            "state": "KY",
            "postal_code": "410419815",
            "telephone_number": "606-849-5090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAZELRIGG",
        "first_name": "JEREMY",
        "middle_name": "HEATH",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-11-02",
        "last_updated": "2009-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "004483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Flemingsburg, KY
• Providers in Flemingsburg, KY by specialty
• Physical Therapist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2009; 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.