Haslam Therapy, Inc.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1143816 Issued in TX

Legal business name

HASLAM THERAPY, INC.

Practice address

2010 Gilmer Rd
Longview, TX 75604-2511

Phone

(903) 297-0008

Fax

(903) 297-0018

NPI assigned

Sep 30, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Kathleen Mary Thibodeaux Haslam, PTNPI 1407962426

Title

Owner

Phone

(903) 297-0008

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kathleen Mary Thibodeaux Haslam, P.T.

  • Physical Therapist
  • Longview, TX
  • NPI 1407962426
  NPD (past) Authorized official

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

{
    "created_epoch": "1159574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1770676199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2010 GILMER RD",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756042511",
            "telephone_number": "903-297-0008",
            "fax_number": "903-297-0018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 GILMER RD",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756042511",
            "telephone_number": "903-297-0008",
            "fax_number": "903-297-0018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HASLAM THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "THIBODEAUX HASLAM",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "MARY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "903-297-0008",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1143816",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF TEXAS CHARTER",
            "identifier": "05322659198",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brittney Harston, RBT
• Breann McIlhenny Hart, APRN, MSN, FNP-C
• Jeffrey Blake Hart, M.D.
• Glory Harwcik
• Stacy Harwell, NP
• Ananya T Hatley, MT
• Alyn D. Hatter, D.O.
• Havencare Nursing & Rehabilitation Center
• Adam Preston Hawkins, RN, BSN
• Angie M Hawkins, OTR,CHT

• Physical Therapist in Longview, TX
• Providers in Longview, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.