Breanne May Haeger, OT

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

OT17665 Issued in CA

Practice address

4320 Point View CT
La Mesa, CA 91941-6951

Phone

(619) 888-9835

NPI assigned

Jan 28, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Breanne May Haeger Other 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": "1580169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728950400000",
    "number": "1568093755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4320 POINT VIEW CT",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919416951",
            "telephone_number": "858-727-8927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4320 POINT VIEW CT",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919416951",
            "telephone_number": "619-888-9835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAEGER",
        "first_name": "BREANNE",
        "middle_name": "MAY",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-28",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "CA",
            "license": "OT17665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BREANNE",
            "last_name": "HAEGER",
            "middle_name": "MAY",
            "credential": "OT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Scott Alan Hacker, M.D.
• Laura A Hackett, M.D.
• Nakia Marie Hackett
• Fadi Haddad
• Ayman Hadi
• Donna M Haglund, PTA
• Richard J Hagstrom, DDS
• Bruce T Haight, M.D., INC
• Michael Haigis
• Haille Inc

• Pediatric Occupational Therapist in La Mesa, CA
• Providers in La Mesa, CA by specialty
• Pediatric Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2024; 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.