Active NPI
Micah Hahn, MPT
- Physical Therapist
- Charlotte, NC
National Provider Identifier
1891976742
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 11327
- Practice address
- 8220 University Exec Park Dr
Suite 140
Charlotte, NC 28262-3380 - Phone
- (704) 547-1129
- Fax
- (704) 547-9056
- NPI assigned
- Nov 20, 2007
- Sex
- Male
- Sole proprietor
- No
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 | 11327 | NC | Primary |
Addresses
Primary practice location
8220 University Exec Park Dr
Suite 140
Charlotte, NC 28262-3380
Mailing address
8220 University Exec Park Dr
Suite 140
Charlotte, NC 28262-3380
Phone (704) 547-1129
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11327 | NC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Proactive Therapy of North Carolina Inc | Past | Accepting new patients | |
| Select Physical Therapy Holdings Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba NovaCare Rehabilitation
- Physical Therapy Clinic/Center
- Charlotte, NC
- NPI 1568468502
-
dba Select Physical Therapy
- Rehabilitation Clinic/Center
- Bethany, OK
- NPI 1437110020
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1195516800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1195516800000",
"number": "1891976742",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8220 UNIVERSITY EXEC PARK DR",
"address_2": "SUITE 140",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282623380",
"telephone_number": "704-547-1129",
"fax_number": "704-547-9056"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8220 UNIVERSITY EXEC PARK DR",
"address_2": "SUITE 140",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282623380",
"telephone_number": "704-547-1129",
"fax_number": "704-547-9056"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAHN",
"first_name": "MICAH",
"credential": "MPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-11-20",
"last_updated": "2007-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "11327",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.