Michelle Haller, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

009362-1 Issued in NY

Practice address

7 Wells St
Suite 101
Saratoga Springs, NY 12866-1200

Phone

(518) 587-0637

NPI assigned

Dec 26, 2013

Last updated

Dec 26, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Michelle Gagnon Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Spa Physical Therapy, PC

  • Physical Therapist
  • Saratoga Springs, NY
  • NPI 1487765095
  NPD (past)

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

{
    "created_epoch": "1388016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388016000000",
    "number": "1922429687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 E COBBLE HILL RD",
            "city": "LOUDONVILLE",
            "state": "NY",
            "postal_code": "122111312",
            "telephone_number": "518-505-8405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 WELLS ST",
            "address_2": "SUITE 101",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128661200",
            "telephone_number": "518-587-0637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALLER",
        "first_name": "MICHELLE",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-26",
        "last_updated": "2013-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "009362-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "GAGNON",
            "credential": "P.T.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Hal Fletcher Starnes Jr.
• Samuel John Halajian, PA-C
• Beth Ann Halburian
• Elizabeth Hall, LMHC
• Timothy J Hall, P.A.
• Joanne Clara Halloran, N.D.
• Alison A Halpin, O.D.
• Susan E Halstead, OPTICIAN
• Catelyn Halusic-Smith, D.O.
• Elizabeth Hollyday Hammond, LCSW

• Physical Therapist in Saratoga Springs, NY
• Providers in Saratoga Springs, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2013; 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.