Jenna Haggerty, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

31143 Issued in AZ

Practice address

844 N Ellsworth Rd
Mesa, AZ 85207-5114

Phone

(480) 380-2810

NPI assigned

Feb 21, 2020

Last updated

Feb 21, 2020By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mariposa Speech Services LLCGroup PAC ID 2264867027, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mariposa Speech Services LLC

  • Physical Therapy Clinic/Center
  • Tempe, AZ
  • NPI 1922531045

  Single Specialty

  Medicare reassignment Care Compare group NPD
• JWG, Inc

  • Physical Therapist
  • Mesa, AZ
  • NPI 1467599035

  Single Specialty

  NPD

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

{
    "created_epoch": "1582243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582243200000",
    "number": "1689207250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "856 W SHERRI DR",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852337930",
            "telephone_number": "480-677-0938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "844 N ELLSWORTH RD",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852075114",
            "telephone_number": "480-380-2810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGGERTY",
        "first_name": "JENNA",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-21",
        "last_updated": "2020-02-21",
        "certification_date": "2020-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "31143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Anthony Hafkey, RN,BSN,DC
• Michele Hagan, SLPA
• Landon Hageman, PHARMD
• Heidi J Hagen, PTA
• David Reza Hager
• Dakota Hagood, RBT
• Mindy Marie Hagstrom, O.D.
• Alyssa Michelle Hague, RN, BSN
• Taryn Michelle Haight
• Timothy Haines, LPC

• Physical Therapist in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Physical Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2020; 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.