Riley Nicholas O'Hagan, D.P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT37375 Issued in CA

Practice address

9040 Jackson Ave
Tacoma, WA 98431-2351

Phone

(805) 898-1907

Fax

(805) 687-8121

NPI assigned

Jan 7, 2011

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)

Enrolled

State licenses

Practice roles

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.

• Sansum Clinic

  • Ambulatory Surgical Clinic/Center
  • Santa Barbara, CA
  • NPI 1144648015
  NPD (past)

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

{
    "created_epoch": "1294358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580169600000",
    "number": "1407150261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30459",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931300459",
            "telephone_number": "805-898-1907",
            "fax_number": "805-687-8121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9040 JACKSON AVE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984312351",
            "telephone_number": "805-898-1907",
            "fax_number": "805-687-8121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'HAGAN",
        "first_name": "RILEY",
        "middle_name": "NICHOLAS",
        "credential": "D.P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-01-07",
        "last_updated": "2020-01-28",
        "certification_date": "2020-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT37375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robin Lee O'Dell, ARNP/CNM
• Melissa Louise O'Donnell, PHARM. D.
• Melissa Lynne O'Donnell
• Brooke Leah O'Flaherty, MSW, LICSW
• Lisa O'Flaherty, LAC
• Patricia M. O'Halloran, MD
• Wendy Johnson O'Haver, DDS
• Stephanie Ann O'Hearn, RN
• Kristen Michelle O'Leary, DC
• Truyen Thi O'Leary, DDS

• Physical Therapist in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2020; 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.