Active NPI
Garry J Hazen, P.T.
- Physical Therapist
- Glen Spey, NY
National Provider Identifier
1801938840
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 009239-1
- Practice address
- 27 Rio Dam Rd
Glen Spey, NY 12737-5408 - Phone
- (845) 856-0952
- NPI assigned
- Feb 13, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 009239-1 | NY | Primary |
Addresses
Primary practice location
27 Rio Dam Rd
Glen Spey, NY 12737-5408
Mailing address
27 Rio Dam Rd
Glen Spey, NY 12737-5408
Phone (845) 856-0952
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 009239-1 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193788800000",
"number": "1801938840",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27 RIO DAM RD",
"city": "GLEN SPEY",
"state": "NY",
"postal_code": "127375408",
"telephone_number": "845-856-0952"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27 RIO DAM RD",
"city": "GLEN SPEY",
"state": "NY",
"postal_code": "127375408",
"telephone_number": "845-856-0952"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAZEN",
"first_name": "GARRY",
"middle_name": "J",
"name_prefix": "Mr.",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-13",
"last_updated": "2007-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "009239-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glen Spey, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.