Hazel Marie Patiag Casperson, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

11935-24 Issued in WI

Practice address

325 E Florida Ave
Appleton, WI 54911-1325

Phone

(920) 731-7310

NPI assigned

Sep 20, 2012

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

Other names 1

• Hazel Marie Patiag Baliiton Former name

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": "1348099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348099200000",
    "number": "1407107162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1425 N MCCARTHY RD APT 3",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549138871",
            "telephone_number": "706-618-7285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 E FLORIDA AVE",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549111325",
            "telephone_number": "920-731-7310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASPERSON",
        "first_name": "HAZEL MARIE",
        "middle_name": "PATIAG",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-20",
        "last_updated": "2012-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "11935-24",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT010262",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HAZEL MARIE",
            "last_name": "BALIITON",
            "middle_name": "PATIAG",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jennifer Carroll
• Kelsie Cartaya, DPT
• Nicolas Cartaya, PT, DPT
• Teresa D Casagranda, PT
• Michael Casey
• Jefferey L Casperson, DDS
• Jennifer L Castro, SAC
• Catalpa Health
• Catalpa Health
• Emily M Cattani

• Physical Therapist in Appleton, WI
• Providers in Appleton, WI by specialty
• Physical Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2012; 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.