Individual provider Active NPI

Martin John Haug, DPT

  • Physical Therapist
  • Williston, ND
National Provider Identifier
1639139405
Registry record updated Jan 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1089 Issued in ND
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

Updated by the provider on Jan 4, 2011

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 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

Enrollment IDStateProvider typePAC IDDetails
I20110218000405 ND Practitioner - Physical Therapist in Private Practice 8123209582 Reassigns benefits to 1 organization

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
Elite Specialty Clinics, Inc.Group PAC ID 7416138870, 4 clinicians

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

LicenseStateTypeSpecialty
1089NDMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Specialty Clinics, Inc. CurrentSince Feb 1, 2011 Accepting new patients
Elite Specialty Clinics, Inc. CurrentSince Feb 1, 2011 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.

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.

Verify at the official NPI Registry.