Christopher Hagedon

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501018228 Issued in MI

Practice address

5315 Elliott Dr
Ypsilanti, MI 48197-8634

Phone

(734) 712-3563

NPI assigned

Nov 1, 2017

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Probility Therapy ServicesGroup PAC ID 6305897414, 106 clinicians

Practice addresses (Care Compare)

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 and National Provider Directory roles.

• Probility Therapy Services

  • Physical Therapist
  • Ypsilanti, MI
  • NPI 1164458543
  Medicare reassignment Care Compare group NPD
• Probility Therapy Services

  dba Probility Physical Therapy

  • Rehabilitation Clinic/Center
  • Ypsilanti, MI
  • NPI 1952873689
  NPD

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

{
    "created_epoch": "1509494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509494400000",
    "number": "1578075420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3145 W CLARK RD",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481971120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5315 ELLIOTT DR",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481978634",
            "telephone_number": "734-712-3563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGEDON",
        "first_name": "CHRISTOPHER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-11-01",
        "last_updated": "2017-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501018228",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MICHIGAN STATE LICENSE",
            "identifier": "5501018228",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kate Marie Guzman, RN BSN
• Lamar P Habern, MS, LLP, CCCBT, CBIS
• Karen Haddlesey, MD
• Mahwish Hafeez
• Ammar Haffar, DO
• Emily Ann Hagen
• Sima Haghpassand III
• Jennie Marie Hahn, R.D.
• Fatima Haidar, MD
• Julia Aseel Haidar, MD

• Physical Therapist in Ypsilanti, MI
• Providers in Ypsilanti, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.