Angela Maria Haigh, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

003253 Issued in GA

Practice address

1111 Glynco Pkwy
Brunswick, GA 31525-7921

Phone

(912) 264-5377

Fax

(912) 262-1889

NPI assigned

Feb 1, 2007

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 1

Other names 1

• Angela Maria Park Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Bachelor of Science

State licenses

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555459200000",
    "number": "1629115167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 PARADISE MARSH CIR",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315252139",
            "telephone_number": "912-262-0820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 GLYNCO PKWY",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315257921",
            "telephone_number": "912-264-5377",
            "fax_number": "912-262-1889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAIGH",
        "first_name": "ANGELA",
        "middle_name": "MARIA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-01",
        "last_updated": "2019-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "003253",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00762605B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "PARK",
            "middle_name": "MARIA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kristen Gustafsson, PHARMD
• Ninoska M Gutierrez, PAC
• Lisa Llanas Hagberg, MD
• Jasmine Marie Hahn, FNP
• Zaroon Haider, M.D.
• Kera A Hales
• Diane Hall
• Shelly R Hall, CCC-SLP
• Tiffani Hall
• Elizabeth Hallmark, RN

• Physical Therapist in Brunswick, GA
• Providers in Brunswick, GA by specialty
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2019; 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.