Faith Hagerty, M.P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

17817 Issued in MD

Practice address

2001 Tidewater Colony Drive
Suite 102
Annapolis, MD 21401-2592

Phone

(410) 266-8010

Fax

(443) 782-2498

NPI assigned

Nov 13, 2006

Last updated

Sep 16, 2011By the provider in NPPES

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 identifiers 4

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Kinesio Physical Therapy and Sports Rehabilitation, LLC

  • Physical Therapist
  • Severna Park, MD
  • NPI 1073936407
  Medicare reassignment NPD Authorized official
• Annapolis Lymphedema Center

  • Physical Therapist
  • Annapolis, MD
  • NPI 1396805008
  NPD (past)
• Fitness Forum of Maryland, LLC

  • Occupational Therapist
  • Annapolis, MD
  • NPI 1821853441
  NPD (past)
• Fitness Forum of Maryland, LLC

  • Rehabilitation Practitioner
  • Annapolis, MD
  • NPI 1912930835

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316131200000",
    "number": "1578634077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 TIDEWATER COLONY DRIVE",
            "address_2": "SUITE 102",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214012592",
            "telephone_number": "410-266-8010",
            "fax_number": "443-782-2498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 TIDEWATER COLONY DRIVE",
            "address_2": "SUITE 102",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214012592",
            "telephone_number": "410-266-8010",
            "fax_number": "443-782-2498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGERTY",
        "first_name": "FAITH",
        "name_prefix": "Mrs.",
        "credential": "M.P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-13",
        "last_updated": "2011-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "17817",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BLUE CHOICE",
            "identifier": "S4410005",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HEALTH CARE",
            "identifier": "3348488",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI",
            "identifier": "497754",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BLUE SHIELD",
            "identifier": "54883608",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Helaine Marie Haase, M.D.
• Olimatu Iye Habib, DNP, CRNP, FNP, CPN
• James B. Haddock, M.D.
• Eric Hadhazy
• Stacey Jean Hagen, LCSWC
• Shelby Haggerty
• Christian Michael Hague, MD
• Elizabeth Anne Hahn, MD
• Gina Decaro Hahn, DPT
• Haile Physical Therapy LLC

• Physical Therapist in Annapolis, MD
• Providers in Annapolis, MD by specialty
• Physical Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2011; 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.