Mark Henry Hagen, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

01650 Issued in MO

Practice address

511 N US Highway 281
Marble Falls, TX 78654-5708

Phone

(636) 221-2847

NPI assigned

Apr 20, 2012

Last updated

Apr 28, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Affinity Orthopedic & Sports Therapy, LLC

  • Physical Therapy Clinic/Center
  • Waynesville, MO
  • NPI 1427316801

  Physical Therapist

  NPD
• Central Missouri Physical Therapy LLC

  dba Peak Sport and Spine

  • Physical Therapist
  • Columbia, MO
  • NPI 1558436592
  NPD

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

{
    "created_epoch": "1334880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588032000000",
    "number": "1629335179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 N US HIGHWAY 281",
            "city": "MARBLE FALLS",
            "state": "TX",
            "postal_code": "786545708",
            "telephone_number": "636-221-2847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 N US HIGHWAY 281",
            "city": "MARBLE FALLS",
            "state": "TX",
            "postal_code": "786545708",
            "telephone_number": "636-221-2847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGEN",
        "first_name": "MARK",
        "middle_name": "HENRY",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-20",
        "last_updated": "2020-04-28",
        "certification_date": "2020-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "01650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joanna Richter Guenther, FNP-BC, PMHNP-BC
• Jacqueline Alcala Guy, M.D.
• H-E-B, LP (HEB Pharmacy #735)
• Steven Wayne Haas, PHARM D
• Robert Hagebak, PH.D.
• Jonathan Hager, M.D.
• Christopher Streckert Hall, M.D.
• Hallmark Homecare, LP (Enhabit Home Health)
• Jennifer Hamblin, LD, RDN
• David Hammons

• Physical Therapist in Marble Falls, TX
• Providers in Marble Falls, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2020; 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.