Individual provider Active NPI

Christopher Wayne Hagger Jr.

  • Physical Therapy Assistant
  • San Antonio, TX
National Provider Identifier
1962145169
Registry record updated Apr 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
2167840 Issued in TX
Practice address
4207 Gardendale St Ste 104B
San Antonio, TX 78229-3142
Phone
(817) 505-2575
Fax
(833) 214-0911
NPI assigned
Apr 15, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 2167840 TX Primary

Addresses

Primary practice location

4207 Gardendale St Ste 104B
San Antonio, TX 78229-3142

Mailing address

4102 S New Braunfels Ave Ste 110
PO Box 121
San Antonio, TX 78223-1717
Phone (850) 426-7848

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
2167840TXMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1649980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649980800000",
    "number": "1962145169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4102 S NEW BRAUNFELS AVE STE 110",
            "address_2": "PO BOX 121",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782231717",
            "telephone_number": "850-426-7848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4207 GARDENDALE ST STE 104B",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293142",
            "telephone_number": "817-505-2575",
            "fax_number": "833-214-0911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGGER",
        "first_name": "CHRISTOPHER",
        "middle_name": "WAYNE",
        "name_suffix": "Jr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-04-15",
        "last_updated": "2022-04-15",
        "certification_date": "2022-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2167840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2022; 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.