Adrienne Marie Hagen, OTR/L

Primary specialty

Hand Occupational TherapistTaxonomy code 225XH1200X

License

2018014561 Issued in MO

Practice address

1475 Kisker Rd Ste 150
Saint Charles, MO 63304-8789

Phone

(317) 727-7540

NPI assigned

Jul 5, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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.

• SSM Select Rehab St Louis LLC

  • Physical Medicine & Rehabilitation Physician
  • Richmond Heights, MO
  • NPI 1558403261

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1530748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530748800000",
    "number": "1821584699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1475 KISKER RD STE 150",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633048789",
            "telephone_number": "317-727-7540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1475 KISKER RD STE 150",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633048789",
            "telephone_number": "317-727-7540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGEN",
        "first_name": "ADRIENNE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-05",
        "last_updated": "2018-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist, Hand",
            "state": "MO",
            "license": "2018014561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Guardian Angel in-Home Care Services, LLC
• Elizabeth Anne Gudenkauf I, OT
• Paige Alyssa Gutierrez, DPT
• Thomas P Gutmann, M.D.
• Lindsey Jane Hadden, PHARMD.
• Jessica Hair, PT, DPT
• Leica Marie Haire
• Amina Hajro, DMD
• Courtney Haker
• Jennifer E Halbert, RN

• Hand Occupational Therapist in Saint Charles, MO
• Providers in Saint Charles, MO by specialty
• Hand Occupational Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2018; 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.