Active NPI
Dana Ann Hagans, MPT
- Physical Therapist
- Cape Girardeau, MO
National Provider Identifier
1902645047
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2010004187
- Practice address
- 3120 Independence St
Cape Girardeau, MO 63703-5048 - Phone
- (573) 335-1281
- NPI assigned
- May 20, 2024
- Last updated
- May 20, 2024
- Sex
- Female
- 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 | 2010004187 | MO | Primary |
Addresses
Primary practice location
3120 Independence St
Cape Girardeau, MO 63703-5048
Mailing address
2117 Green Ridge LN
Jackson, MO 63755-9259
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 |
|---|---|---|---|
| 2010004187 | MO | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1716163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716163200000",
"number": "1902645047",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2117 GREEN RIDGE LN",
"city": "JACKSON",
"state": "MO",
"postal_code": "637559259"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3120 INDEPENDENCE ST",
"city": "CAPE GIRARDEAU",
"state": "MO",
"postal_code": "637035048",
"telephone_number": "573-335-1281"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAGANS",
"first_name": "DANA",
"middle_name": "ANN",
"credential": "MPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-05-20",
"last_updated": "2024-05-20",
"certification_date": "2024-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MO",
"license": "2010004187",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cape Girardeau, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.