Active NPI
Julia Hahn, PT
- Physical Therapist
- Indian Trail, NC
National Provider Identifier
1639411069
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- P12833
- Practice address
- 5015 Jacquelyne Dr
Indian Trail, NC 28079-9405 - Phone
- (704) 668-3925
- NPI assigned
- Mar 24, 2013
- Sex
- Female
- Sole proprietor
- No
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 | P12833 | NC | Primary |
Addresses
Primary practice location
5015 Jacquelyne Dr
Indian Trail, NC 28079-9405
Mailing address
5015 Jacquelyne Dr
Indian Trail, NC 28079-9405
Phone (704) 668-3925
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P12833 | NC | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1364083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1364083200000",
"number": "1639411069",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5015 JACQUELYNE DR",
"city": "INDIAN TRAIL",
"state": "NC",
"postal_code": "280799405",
"telephone_number": "704-668-3925"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5015 JACQUELYNE DR",
"city": "INDIAN TRAIL",
"state": "NC",
"postal_code": "280799405",
"telephone_number": "704-668-3925"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAHN",
"first_name": "JULIA",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-03-24",
"last_updated": "2013-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "P12833",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Indian Trail, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.