Neal Allen Hazen, PT, ATC, LAT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

05002055A Issued in IN

Practice address

3415 W Fox Ridge LN
Muncie, IN 47304-5204

Phone

(765) 282-3486

Fax

(765) 282-5637

NPI assigned

Dec 9, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1165622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1227052800000",
    "number": "1891855136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6890",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477190890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3415 W FOX RIDGE LN",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473045204",
            "telephone_number": "765-282-3486",
            "fax_number": "765-282-5637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAZEN",
        "first_name": "NEAL",
        "middle_name": "ALLEN",
        "credential": "PT, ATC, LAT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-09",
        "last_updated": "2008-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05002055A",
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "IN",
            "license": "36000116A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200816790",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000386711",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shelly Hayes
• Marcy Jane Hays, P.T.
• Hazen Physical Therapy, LLC
• Becky T Hazen, PT
• Daniel Gordon Hazen, ACIT II, MATS
• Gary Robert Hazlett, M.D.
• Health Care Connections, Inc
• Health Care Connections, Inc.
• Healthcare Centers of Indiana, LLC
• Healthstat Onsite Clinic Keihin Muncie

• Physical Therapist in Muncie, IN
• Providers in Muncie, IN by specialty
• Physical Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.