Individual provider Active NPI

Jill Hahs, PT

  • Physical Therapist
  • Cape Girareau, MO
National Provider Identifier
1881422244
Registry record updated Jul 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
104478 Issued in MO
Practice address
1405 North Mount Auburn Rd.
Cape Girareau, MO 63701
Phone
(573) 335-7868
Fax
(573) 335-8193
NPI assigned
Jul 25, 2024
Last updated
Jul 26, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2024

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 104478 MO Primary

Addresses

Primary practice location

1405 North Mount Auburn Rd.
Cape Girareau, MO 63701

Mailing address

1405 North Mount Auburn Rd.
Cape Girareau, MO 63701
Phone (573) 335-7868

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241004000523 MO Practitioner - Physical Therapist in Private Practice 7719418441 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Physical Therapy and Rehab LLCGroup PAC ID 1254335060, 6 clinicians

Practice addresses (Care Compare)

1405 N Mount Auburn Rd
Cape Girardeau, MO 63701-2171
Phone (573) 335-7868

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Physical Therapy & Rehab, LLC. Physical Therapist CurrentSince Jul 8, 2024 Accepting new patients

Locations

1405 N Mount Auburn Rd
Cpe Girardeau, MO 63701
Phone (573) 335-7868

2480 E Main St
Ste B
Jackson, MO 63755
Phone (573) 204-7868

Organizations & group practices 1

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": "1721865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721952000000",
    "number": "1881422244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1405 NORTH MOUNT AUBURN RD.",
            "city": "CAPE GIRAREAU",
            "state": "MO",
            "postal_code": "63701",
            "telephone_number": "573-335-7868",
            "fax_number": "573-335-8193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 NORTH MOUNT AUBURN RD.",
            "city": "CAPE GIRAREAU",
            "state": "MO",
            "postal_code": "63701",
            "telephone_number": "573-335-7868",
            "fax_number": "573-335-8193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAHS",
        "first_name": "JILL",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-25",
        "last_updated": "2024-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "104478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Girareau, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2024; 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.