Active NPI
Solana Haupt, PT, DPT
- Physical Therapist
- Grovetown, GA
National Provider Identifier
1790255156
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 26200
- Practice address
- 8835 Crenshaw Dr
Grovetown, GA 30813-8326 - Phone
- (503) 729-0018
- NPI assigned
- Nov 28, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT015396 | GA | |
| Physical Therapist | 225100000X | 26200 | MD | Primary |
Addresses
Primary practice location
8835 Crenshaw Dr
Grovetown, GA 30813-8326
Mailing address
8835 Crenshaw Dr
Grovetown, GA 30813-8326
Phone (503) 729-2394
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT015396 | GA | MD | Physical Therapist |
| 26200 | MD | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1543363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701388800000",
"number": "1790255156",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8835 CRENSHAW DR",
"city": "GROVETOWN",
"state": "GA",
"postal_code": "308138326",
"telephone_number": "503-729-2394"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8835 CRENSHAW DR",
"city": "GROVETOWN",
"state": "GA",
"postal_code": "308138326",
"telephone_number": "503-729-0018"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAUPT",
"first_name": "SOLANA",
"credential": "PT, DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-11-28",
"last_updated": "2023-12-01",
"certification_date": "2023-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT015396",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "26200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grovetown, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.