Active NPI
Martin John Haug, DPT
- Physical Therapist
- Williston, ND
National Provider Identifier
1639139405
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1089
- Practice address
- 512 Main St
Williston, ND 58801-5316 - Phone
- (701) 774-0320
- NPI assigned
- Mar 24, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1089 | ND | Primary |
Addresses
Primary practice location
512 Main St
Williston, ND 58801-5316
Mailing address
1221 Hillcourt
Williston, ND 58801-4333
Phone (701) 572-4206
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ND
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
512 Main St
Williston, ND 58801-5316
Phone 7017740320740320
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1089 | ND | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elite Specialty Clinics, Inc. | Current | Accepting new patients | |
| Elite Specialty Clinics, Inc. | Current | Accepting new patients | |
| Frances Mahon Deaconess Hospital | Past | Accepting new patients |
Locations
512 Main St
Williston, ND 58801
Phone (701) 774-0320
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapy Clinic/Center
- Williston, ND
- NPI 1841594900
-
- Urgent Care Clinic/Center
- Williston, ND
- NPI 1235481540
-
- Critical Access Hospital
- Glasgow, MT
- NPI 1689685323
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1294099200000",
"number": "1639139405",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1221 HILLCOURT",
"city": "WILLISTON",
"state": "ND",
"postal_code": "588014333",
"telephone_number": "701-572-4206"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "512 MAIN ST",
"city": "WILLISTON",
"state": "ND",
"postal_code": "588015316",
"telephone_number": "701-774-0320"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAUG",
"first_name": "MARTIN",
"middle_name": "JOHN",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-03-24",
"last_updated": "2011-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "ND",
"license": "1089",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Williston, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2011; 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.