Active NPI
Robert Blenner Hassett III, P.T.
- Physical Therapist
- Ukiah, CA
National Provider Identifier
1417937277
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT 1381
- Practice address
- 3101 S State St
Suite a
Ukiah, CA 95482-6938 - Phone
- (707) 468-3844
- Fax
- (707) 468-5702
- NPI assigned
- Jan 18, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT 1381 | CA | Primary |
Addresses
Primary practice location
3101 S State St
Suite a
Ukiah, CA 95482-6938
Mailing address
526 Baywood CT
Ukiah, CA 95482-6501
Phone (707) 468-5001
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT 1381 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physical Therapy at the Health Club | Physical Therapist | Past | Accepting new patients |
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.
-
- Physical Therapist
- Ukiah, CA
- NPI 1518050442
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137542400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1191369600000",
"number": "1417937277",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "526 BAYWOOD CT",
"city": "UKIAH",
"state": "CA",
"postal_code": "954826501",
"telephone_number": "707-468-5001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3101 S STATE ST",
"address_2": "SUITE A",
"city": "UKIAH",
"state": "CA",
"postal_code": "954826938",
"telephone_number": "707-468-3844",
"fax_number": "707-468-5702"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HASSETT",
"first_name": "ROBERT",
"middle_name": "BLENNER",
"name_prefix": "Mr.",
"name_suffix": "III",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-18",
"last_updated": "2007-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT 1381",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ukiah, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.