Anna Paula Haggarty, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1264272 Issued in TX

Practice address

1415 E Walnut St Ste 500
Seguin, TX 78155-5181

Phone

(830) 240-2608

Fax

(830) 240-2609

NPI assigned

Nov 24, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Anna Paula Avila Bonifacio Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1543017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673913600000",
    "number": "1679042337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12413 JUDSON RD STE 260",
            "city": "LIVE OAK",
            "state": "TX",
            "postal_code": "782333262",
            "telephone_number": "210-656-7953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 E WALNUT ST STE 500",
            "city": "SEGUIN",
            "state": "TX",
            "postal_code": "781555181",
            "telephone_number": "830-240-2608",
            "fax_number": "830-240-2609"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16550 Retama Pkwy",
            "address_purpose": "LOCATION",
            "city": "Selma",
            "state": "TX",
            "postal_code": "781543952",
            "country_code": "US",
            "telephone_number": "210-886-8393",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAGGARTY",
        "first_name": "ANNA",
        "middle_name": "PAULA",
        "name_prefix": "Miss",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-24",
        "last_updated": "2023-01-17",
        "certification_date": "2023-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1264272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNA PAULA",
            "last_name": "BONIFACIO",
            "middle_name": "AVILA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Physical Therapist in Seguin, TX
• Providers in Seguin, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2023; 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.