Active NPI
Pamela F Hagaman, PT,OCS
- Physical Therapist
- Boone, NC
National Provider Identifier
1861472771
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5033
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 07832 | Other | NC | BCBS |
| D7811 | Other | NC | MED-COST |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 5033 | NC | MD | Dentist |
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.