Amanda K Hazen, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

34452 Issued in CA

Practice address

4080 N Cedar Ave
Fresno, CA 93726-5267

Phone

(559) 222-7497

Fax

(559) 224-9310

NPI assigned

Feb 6, 2008

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Golden Bear Physical Therapy Sports Injury Center, Inc

  • Physical Therapy Clinic/Center
  • Modesto, CA
  • NPI 1811084676

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1202256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273190400000",
    "number": "1730367384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4080 N CEDAR AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937265267",
            "telephone_number": "559-222-7497",
            "fax_number": "559-224-9310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4080 N CEDAR AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937265267",
            "telephone_number": "559-222-7497",
            "fax_number": "559-224-9310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAZEN",
        "first_name": "AMANDA",
        "middle_name": "K",
        "name_prefix": "Miss",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-06",
        "last_updated": "2010-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "34452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scott C Hays
• Janice D Hayward
• Charles Edward Haywood
• Tyler Haywood
• Alexandra Timofeyevna Hazen-Nazaroff, D.M.D
• Soumyadipta Hazra, MD
• HB Medical Transportation
• Head and Neck Associates of Central California
• Shanelle Marie Head
• Heal Home Health, Inc.

• Physical Therapist in Fresno, CA
• Providers in Fresno, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2010; 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.