Spencer Haag, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

13689 Issued in MN

Practice address

225 N Benton Dr Ste 110
Sauk Rapids, MN 56379-1575

Phone

(320) 252-2225

Fax

(320) 252-2159

NPI assigned

Sep 17, 2024

Sex

Male

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

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.

• Skilled Fitness & Therapy LLC

  • Physical Therapist
  • Annandale, MN
  • NPI 1154144087
  NPD Authorized official
• Spinal Rehab Clinics, PA

  • Physical Therapist
  • Sauk Rapids, MN
  • NPI 1598896326
  NPD (past)

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

{
    "created_epoch": "1726531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726531200000",
    "number": "1740017466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 N BENTON DR STE 110",
            "city": "SAUK RAPIDS",
            "state": "MN",
            "postal_code": "563791575",
            "telephone_number": "320-252-2225",
            "fax_number": "320-252-2159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 N BENTON DR STE 110",
            "city": "SAUK RAPIDS",
            "state": "MN",
            "postal_code": "563791575",
            "telephone_number": "320-252-2225",
            "fax_number": "320-252-2159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAAG",
        "first_name": "SPENCER",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-09-17",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "13689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Good Shepherd Lutheran Home of Sauk Rapids, Minnesota
• Good Shepherd Lutheran Home of Sauk Rapids, MN, Inc.
• Stacey M Gorman, P.T.
• Granite Care Home, Inc.
• Guardian Pharmacy of Minnesota LLC
• Mohamud Haille
• Rahma Haille
• Sadiya Hussein Haille
• Salah Haille
• Rose Hansen, OTR

• Physical Therapist in Sauk Rapids, MN
• Providers in Sauk Rapids, MN by specialty
• Physical Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2024; 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.