Jessica Hagan, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT11320 Issued in OH

Practice address

28 Conservatory Dr Ste a
Barberton, OH 44203-4275

Phone

(330) 615-5000

Fax

(330) 848-3982

NPI assigned

Mar 3, 2014

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1393804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393804800000",
    "number": "1730504580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 5TH ST NE",
            "city": "BARBERTON",
            "state": "OH",
            "postal_code": "442033332",
            "telephone_number": "330-615-5000",
            "fax_number": "330-848-3982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 CONSERVATORY DR STE A",
            "city": "BARBERTON",
            "state": "OH",
            "postal_code": "442034275",
            "telephone_number": "330-615-5000",
            "fax_number": "330-848-3982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGAN",
        "first_name": "JESSICA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-03",
        "last_updated": "2014-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT11320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Growing Wings Adult Services LLC
• Nicole Gruszewski, LPCC-S
• Angela Gumbarevic
• Andrew J Haas Jr., MD
• Meghan R Haas, R.PH.
• Robert Edward Hagen, OTR/L
• Edmond Roger Hakim, O.D.
• Roger Edmond Hakim, M.D.
• Adnela Halilovic
• Amir Halilovic

• Physical Therapist in Barberton, OH
• Providers in Barberton, OH by specialty
• Physical Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2014; 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.