Carly Haggermaker, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

007374 Issued in KY

Practice address

7500 Rialto Blvd Ste 230
Austin, TX 78735-8531

Phone

(737) 284-2450

NPI assigned

Jun 7, 2018

Last updated

Nov 12, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Carly Hughes Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Medici Medical Group PA

  • Multi-Specialty Clinic/Center
  • Austin, TX
  • NPI 1114560133
  NPD
• Monarch Diagnostics, LLC

  • Physiological Laboratory
  • Austin, TX
  • NPI 1205163011
  NPD (past)

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

{
    "created_epoch": "1528329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731369600000",
    "number": "1568955326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7500 RIALTO BLVD STE 230",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787358531",
            "telephone_number": "737-284-2450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7500 RIALTO BLVD STE 230",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787358531",
            "telephone_number": "737-284-2450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGGERMAKER",
        "first_name": "CARLY",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-07",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "007374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARLY",
            "last_name": "HUGHES",
            "credential": "PT, DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Joseph Hagen, PA-C
• Kristin Patricia Hagen
• Wendy Hagenow, CCC-SLP
• Debra Gail Hagens, RPH
• Steven L Hagey, PHD
• Pegah Haghighatfar
• Ida Haghighi
• Drew Haginas
• Robret Hagood, D.C.
• Hahn Wellness, L.L.C.

• Physical Therapist in Austin, TX
• Providers in Austin, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 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.