Active NPI
Jonathon Earle Hague, PT
- Physical Therapist
- Gilbert, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 6867
- Practice address
- 1675 E Melrose St Ste 101-103
Gilbert, AZ 85297-1001 - Phone
- (602) 648-5444
- Fax
- (602) 772-3801
- NPI assigned
- Aug 1, 2006
- Last updated
- Jul 25, 2022
- 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 | 6867 | AZ | Primary |
Addresses
Primary practice location
1675 E Melrose St Ste 101-103
Gilbert, AZ 85297-1001
Mailing address
PO Box 80217
Phoenix, AZ 85060-0217
Phone (602) 385-2115
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5620 E Bell Rd
Scottsdale, AZ 85254-5950
Phone (602) 385-2115
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6867 | AZ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthopedic Specialists of North America PLLC | Physical Therapist | Current | Accepting new patients |
| Orthopedic Specialists of North America, PLLC | Current | Accepting new patients | |
| Welch Physical Therapy and Sports Medicine, LLC | Physical Therapist | Past | Accepting new patients |
| Ortho Arizona Surgery Center Gilbert, LLC | Past | Accepting new patients |
Locations
525 S Chandler Village Dr
Chandler, AZ 85226
Phone (480) 750-0303
7225 W Harrison St
Chandler, AZ 85226
Phone (480) 306-4160
1675 E Melrose St
Ste 100
Gilbert, AZ 85297
1675 E Melrose St
Ste 101103
Gilbert, AZ 85297
1675 E Melrose St
Unit 101
Gilbert, AZ 85297
1760 E Pecos Rd
Ste 207
Gilbert, AZ 85295
Phone (480) 813-0944
2940 E Banner Gateway Dr
Ste 200
Gilbert, AZ 85234
3033 N 44th St
Ste 100
Phoenix, AZ 85018
Phone (602) 631-3161
40601 N Gantzel Rd
Ste 103
San Tan Vly, AZ 85140
5620 E Bell Rd
Scottsdale, AZ 85254
Phone (602) 485-3050
9219 E Hidden Spur Trl
Ste 100
Scottsdale, AZ 85255
Phone (602) 380-6807
Organizations & group practices 4
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.
-
dba OrthoArizona
- Orthopaedic Surgery Physician
- Phoenix, AZ
- NPI 1770812828
-
dba OrthoArizona
- Orthopaedic Surgery Physician
- Gilbert, AZ
- NPI 1588986301
Physical Therapist
-
dba Ortho Arizona Surgery Center Gilbert
- Ambulatory Surgical Clinic/Center
- Gilbert, AZ
- NPI 1629559208
-
- Physical Therapist
- Gilbert, AZ
- NPI 1578579231
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658707200000",
"number": "1598771255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 80217",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850600217",
"telephone_number": "602-385-2115",
"fax_number": "480-418-3323"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1675 E MELROSE ST STE 101-103",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852971001",
"telephone_number": "602-648-5444",
"fax_number": "602-772-3801"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAGUE",
"first_name": "JONATHON",
"middle_name": "EARLE",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-01",
"last_updated": "2022-07-25",
"certification_date": "2022-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "6867",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gilbert, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2022; 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.