James K Haberstro, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT3697 Issued in WA

Practice address

4935 Point Fosdick Dr NW
Suites F200 & F300
Gig Harbor, WA 98335-1851

Phone

(253) 258-3355

Fax

(253) 258-3356

NPI assigned

Jul 26, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 1

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.

• Adult Rehabilitation Therapies, PLLC

  • Physical Therapist
  • Federal Way, WA
  • NPI 1194943381
  NPD (past)
• Apple Physical Therapy, LLC

  • Physical Therapist
  • Auburn, WA
  • NPI 1902808470
  NPD (past)

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

{
    "created_epoch": "1122336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488844800000",
    "number": "1740280254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909",
            "telephone_number": "630-296-2222",
            "fax_number": "630-759-9510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4935 POINT FOSDICK DR NW",
            "address_2": "SUITES F200 & F300",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983351851",
            "telephone_number": "253-258-3355",
            "fax_number": "253-258-3356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HABERSTRO",
        "first_name": "JAMES",
        "middle_name": "K",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-26",
        "last_updated": "2017-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT3697",
            "primary": true
        },
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "WA",
            "license": "PT3697",
            "primary": false
        },
        {
            "code": "2251N0400X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Neurology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8333296",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jose Edwin Gutierrez
• Olivia Gutierrez
• Ricardo Rodolfo Gutierrez, MD
• H3 Therapy, LLC
• Frances Haberstro
• Lawrence Hackman, LMFTA
• Betty Ann Hagaman I, M.D.
• Hadjir Haghparast Hassas
• Courtney Cushing Hale, MS CF-SLP
• Kaylee Mae Hall, MSW

• Physical Therapist in Gig Harbor, WA
• Providers in Gig Harbor, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2017; 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.