Debra Eloise Haworth, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

05002133A Issued in IN

Practice address

127 N Main St
Monticello, IN 47960-2130

Phone

(765) 497-1521

Fax

(765) 497-1908

NPI assigned

Dec 8, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367366400000",
    "number": "1750440442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 N MAIN ST",
            "city": "MONTICELLO",
            "state": "IN",
            "postal_code": "479602130",
            "telephone_number": "765-497-1521",
            "fax_number": "765-497-1908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 N MAIN ST",
            "city": "MONTICELLO",
            "state": "IN",
            "postal_code": "479602130",
            "telephone_number": "765-497-1521",
            "fax_number": "765-497-1908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAWORTH",
        "first_name": "DEBRA",
        "middle_name": "ELOISE",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-08",
        "last_updated": "2013-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05002133A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100086060",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Phillip Augustine Henady, D.C.
• Frederic Alan Henney, MD
• Natalie Lynn Hodgen, PTA
• Suzanne F Holmes, LCSW
• Hook-Superx LLC

• Physical Therapist in Monticello, IN
• Providers in Monticello, IN by specialty
• Physical Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2013; 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.