Individual provider Active NPI

Louis Gregeory Haase, PT, DPT

  • Physical Therapist
  • North Pole, AK
National Provider Identifier
1871296244
Registry record updated Mar 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
205914 Issued in AK
Practice address
157 Lewis St
North Pole, AK 99705-7699
Phone
(907) 488-4978
NPI assigned
Mar 24, 2023
Last updated
Mar 24, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 5501301998 MI
Physical Therapist 225100000X 205914 AK Primary

Addresses

Primary practice location

157 Lewis St
North Pole, AK 99705-7699

Mailing address

3604 E Lansing Rd
Bancroft, MI 48414-9428
Phone (224) 545-4822

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK, MI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230502003377 AK Practitioner - Physical Therapist in Private Practice 3678938370 Reassigns benefits to 1 organization
I20231108001026 MI Practitioner - Physical Therapist in Private Practice 3678938370 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3680 E Court St
Flint, MI 48506-4106
Phone (810) 243-0032

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
205914AKMDPhysical Therapist
5501301998MIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
C J Sear Inc Physical Therapist CurrentSince Mar 4, 2024 Accepting new patients
Benchmark Physical Therapy Michigan LLC Physical Therapist CurrentSince Oct 30, 2023 Accepting new patients
North Pole Physical Therapy, Inc CurrentSince Apr 1, 2023 Accepting new patients

Locations

157 Lewis St
North Pole, AK 99705
Phone (907) 488-4978

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

3680 E Court St
Flint, MI 48506
Phone (810) 243-0032

715 E Main St
Midland, MI 48640
Phone (989) 374-2222

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1679616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679616000000",
    "number": "1871296244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3604 E LANSING RD",
            "city": "BANCROFT",
            "state": "MI",
            "postal_code": "484149428",
            "telephone_number": "224-545-4822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "157 LEWIS ST",
            "city": "NORTH POLE",
            "state": "AK",
            "postal_code": "997057699",
            "telephone_number": "907-488-4978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAASE",
        "first_name": "LOUIS",
        "middle_name": "GREGEORY",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-03-24",
        "last_updated": "2023-03-24",
        "certification_date": "2023-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501301998",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AK",
            "license": "205914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Pole, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2023; 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.