Active NPI
Daniel Hague, PT, DPT
- Physical Therapist
- Lowell, MA
National Provider Identifier
1942885637
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 25418
- Practice address
- 176 Walker St
Lowell, MA 01854-3164 - Phone
- (408) 514-7658
- NPI assigned
- Mar 14, 2021
- Sex
- Male
- Sole proprietor
- Yes
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 | 25418 | MA | Primary |
Addresses
Primary practice location
176 Walker St
Lowell, MA 01854-3164
Mailing address
7446 Tulare Hill Dr
San Jose, CA 95139-1274
Phone (408) 514-7658
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210429000966 | MA | Practitioner - Physical Therapist in Private Practice | 8921417155 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25418 | MA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1615680000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684108800000",
"number": "1942885637",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7446 TULARE HILL DR",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951391274",
"telephone_number": "408-514-7658"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "176 WALKER ST",
"city": "LOWELL",
"state": "MA",
"postal_code": "018543164",
"telephone_number": "408-514-7658"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAGUE",
"first_name": "DANIEL",
"credential": "PT, DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-03-14",
"last_updated": "2023-05-15",
"certification_date": "2023-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "25418",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lowell, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.