Jacob James Tatsumi Haught, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

4196 Issued in NV

Practice address

9260 W Sunset Rd Ste 204
Las Vegas, NV 89148-4903

Phone

(702) 595-4134

NPI assigned

Mar 21, 2020

Sex

Male

Sole proprietor

No

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

Enrolled in NV

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2019

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

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.

• Mustard Seeds Therapies LLC

  • Physical Therapist
  • Pahrump, NV
  • NPI 1255124475
  Medicare reassignment NPD
• Ninth Island Pediatric Therapy LLC

  • Physical Therapist
  • Henderson, NV
  • NPI 1306584875
  NPD Authorized official
• Therapy Blocks L.L.C.

  • Occupational Therapist
  • Las Vegas, NV
  • NPI 1346739562

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1584748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584748800000",
    "number": "1821624842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 WESTIN LN",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890025115",
            "telephone_number": "808-343-8162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9260 W SUNSET RD STE 204",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891484903",
            "telephone_number": "702-595-4134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAUGHT",
        "first_name": "JACOB",
        "middle_name": "JAMES TATSUMI",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-21",
        "last_updated": "2020-03-21",
        "certification_date": "2020-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NV",
            "license": "4196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric John Hauge, RPH
• Joseph Oliver Hauge
• Casey Haugen
• Jasmine Lee Haugen
• Nancey Kauilani Watts Haugen
• Velcia Marie Haughton- Walker, MHC
• Sara Ann Haughton, LPN
• Tyler Shawn Haughton
• Grace Nabwire Haukwa-Taylor
• Phanice Haukwa

• Physical Therapist in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Physical Therapist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.