Individual provider Active NPI

Patsy Haner, PTA

  • Physical Therapy Assistant
  • Amarillo, TX
National Provider Identifier
1952651929
Registry record updated Sep 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
2010013 Issued in TX
Practice address
3108 S Fillmore St
Amarillo, TX 79110-1026
Phone
(806) 374-5516
Fax
(806) 373-4769
NPI assigned
Sep 17, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 2010013 TX Primary
Massage Therapist 225700000X MT023644 TX

Addresses

Primary practice location

3108 S Fillmore St
Amarillo, TX 79110-1026

Mailing address

3108 S Fillmore St
Amarillo, TX 79110-1026
Phone (806) 374-5516

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

LicenseStateTypeSpecialty
2010013TXMDPhysical Therapy Assistant
MT023644TXMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Amarillo Multiservice Center for the Aging, Inc. PastSince Jul 4, 2021 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1347840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348099200000",
    "number": "1952651929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3108 S FILLMORE ST",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791101026",
            "telephone_number": "806-374-5516",
            "fax_number": "806-373-4769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3108 S FILLMORE ST",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791101026",
            "telephone_number": "806-374-5516",
            "fax_number": "806-373-4769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANER",
        "first_name": "PATSY",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-17",
        "last_updated": "2012-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2010013",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "TX",
            "license": "MT023644",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amarillo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2012; 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.