Hazen Physical Therapy, LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

HAZEN PHYSICAL THERAPY, LLC

Practice address

1705 N Bob O Link Dr
Muncie, IN 47304-6616

Phone

(765) 282-3486

NPI assigned

Mar 21, 2007

Last updated

Nov 19, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Neal Hazen, MBRNPI 1891855136

Title

Owner

Phone

(765) 282-3486

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Neal Allen Hazen, PT, ATC, LAT

  • Physical Therapist
  • Muncie, IN
  • NPI 1891855136
  Authorized official Same address or phone
• Becky T Hazen, PT

  • Physical Therapist
  • Muncie, IN
  • NPI 1609997923
  NPD (past)

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227052800000",
    "number": "1598880981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1705 N BOB O LINK DR",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473046616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705 N BOB O LINK DR",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473046616",
            "telephone_number": "765-282-3486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAZEN PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2008-11-19",
        "status": "A",
        "authorized_official_last_name": "HAZEN",
        "authorized_official_first_name": "NEAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "765-282-3486",
        "authorized_official_credential": "MBR"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200871400A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Khalie Hawkins
• Larry T Hawkins, OT
• Robert E Hayes, ED.D.
• Shelly Hayes
• Marcy Jane Hays, P.T.
• Becky T Hazen, PT
• Daniel Gordon Hazen, ACIT II, MATS
• Neal Allen Hazen, PT, ATC, LAT
• Gary Robert Hazlett, M.D.
• Health Care Connections, Inc (Healthstrategies Physical and Occupational Therapy)

• Physical Therapy Clinic/Center in Muncie, IN
• Providers in Muncie, IN by specialty
• Physical Therapy Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2008; 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.