Individual provider Active NPI

Pamela F Hagaman, PT,OCS

  • Physical Therapist
  • Boone, NC
National Provider Identifier
1861472771
Registry record updated Feb 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5033 Issued in NC
Practice address
950 State Farm Rd
Boone, NC 28607-5021
Phone
(828) 263-8344
Fax
(828) 263-8346
NPI assigned
Jan 18, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 5033 NC Primary

Addresses

Primary practice location

950 State Farm Rd
Boone, NC 28607-5021

Mailing address

950 State Farm Rd
Boone, NC 28607-5077
Phone (828) 263-8344

Other identifiers 2

IdentifierTypeStateIssuer
07832OtherNCBCBS
D7811OtherNCMED-COST

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041113000077 NC Practitioner - Physical Therapist in Private Practice 2961466537 Practice locations: Boone, NC

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Utah School of Medicine, 1984
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

950 State Farm Rd
Boone, NC 28607-5077
Phone (828) 263-8344

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5033NCMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1137542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644451200000",
    "number": "1861472771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 STATE FARM RD",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286075077",
            "telephone_number": "828-263-8344",
            "fax_number": "828-263-8346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 STATE FARM RD",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286075021",
            "telephone_number": "828-263-8344",
            "fax_number": "828-263-8346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGAMAN",
        "first_name": "PAMELA",
        "middle_name": "F",
        "name_prefix": "Mrs.",
        "credential": "PT,OCS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-18",
        "last_updated": "2022-02-10",
        "certification_date": "2022-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "5033",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "07832",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MED-COST",
            "identifier": "D7811",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boone, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2022; 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.