David Brian Haberman

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

PT.6080 Issued in OH

Practice address

18697 Bagley Rd
Middleburg Heights, OH 44130-3417

Phone

(440) 816-8010

NPI assigned

Mar 13, 2019

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1552435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552435200000",
    "number": "1629537253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18697 BAGLEY RD",
            "city": "MIDDLEBURG HEIGHTS",
            "state": "OH",
            "postal_code": "441303417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18697 BAGLEY RD",
            "city": "MIDDLEBURG HEIGHTS",
            "state": "OH",
            "postal_code": "441303417",
            "telephone_number": "440-816-8010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HABERMAN",
        "first_name": "DAVID",
        "middle_name": "BRIAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-13",
        "last_updated": "2019-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "OH",
            "license": "PT.6080",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PT6808",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marc Gabriel Gumucio, NP-C
• Kyle Gustafson, PHARMD
• Michael Alexander Haase, FNP-C
• Gina M Haber, AA
• Roy H Haber Jr., A.A.
• Paul Ferris Haddad, DO
• Angela Hamel, FNP-BC
• Brandi Hanchosky, CRNA
• Stephanie Elaine Hannah, PHARMD, RPH
• Lisa Lind Hansen, PTA

• Orthopedic Physical Therapist in Middleburg Heights, OH
• Providers in Middleburg Heights, OH by specialty
• Orthopedic Physical Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 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.