Individual provider Active NPI

Cherie M Haug, P.T., D.P.T.

  • Physical Therapist
  • Farmington, MO
National Provider Identifier
1629305289
Registry record updated Nov 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2001031154 Issued in MO
Practice address
602 Maple Valley Dr
Farmington, MO 63640-1976
Phone
(573) 756-2999
Fax
(573) 756-6195
NPI assigned
Nov 3, 2009
Last updated
Nov 3, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2001031154 MO Primary

Addresses

Primary practice location

602 Maple Valley Dr
Farmington, MO 63640-1976

Mailing address

602 Maple Valley Dr
Farmington, MO 63640-1976
Phone (573) 756-2999

Other names 1

  • Cherie M Prenger Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220722000374 MO Practitioner - Physical Therapist in Private Practice 7113308115 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mid America Rehab, P.C.Group PAC ID 9830236769, 14 clinicians

Practice addresses (Care Compare)

490 US Hwy 61
Bloomsdale, MO 63627-9131
Phone (573) 483-5040

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2001031154MOMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ste. Genevieve County Memorial Hospital CurrentSince Oct 1, 2024 Accepting new patients
Ste Genevieve County Memorial Hospital Current Accepting new patients
Mid America Rehab, P.C. Physical Therapist CurrentSince Jun 1, 2022 Accepting new patients
Ste Genevieve County Memorial Hospital CurrentSince Oct 1, 2024 Accepting new patients
Potential Therapy Services LLC PastSince Sep 23, 2025 Accepting new patients
Farmington Sports and Rehabilitation Joint Venture PastSince Jan 12, 2020 Accepting new patients

Locations

255 Boderman
Bloomsdale, MO 63627
Phone (573) 483-2727

490 US Highway 61
Bloomsdale, MO 63627
Phone (573) 483-5040

3047 William St
Ste 100
Cpe Girardeau, MO 63703
Phone (573) 339-5989

21964 Highway 32
Ste Genevieve, MO 63670
Phone (573) 883-9266

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1257206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257206400000",
    "number": "1629305289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 MAPLE VALLEY DR",
            "city": "FARMINGTON",
            "state": "MO",
            "postal_code": "636401976",
            "telephone_number": "573-756-2999",
            "fax_number": "573-756-6195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 MAPLE VALLEY DR",
            "city": "FARMINGTON",
            "state": "MO",
            "postal_code": "636401976",
            "telephone_number": "573-756-2999",
            "fax_number": "573-756-6195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAUG",
        "first_name": "CHERIE",
        "middle_name": "M",
        "credential": "P.T., D.P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-03",
        "last_updated": "2009-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2001031154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHERIE",
            "last_name": "PRENGER",
            "middle_name": "M",
            "credential": "P.T.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Farmington, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2009; 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.