Individual provider Active NPI

Heather Diane Dodge Hasselschwert, DPT

  • Physical Therapist
  • Newport, OR
National Provider Identifier
1972739449
Registry record updated Aug 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5955 Issued in OR
Practice address
1010 SW Coast Hwy
Suite 102
Newport, OR 97365-5288
Phone
(541) 265-4252
Fax
(541) 265-8914
NPI assigned
Jun 10, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 17, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 5955 OR Primary

Addresses

Primary practice location

1010 SW Coast Hwy
Suite 102
Newport, OR 97365-5288

Mailing address

1010 SW Coast Hwy
Suite 102
Newport, OR 97365-5288
Phone (541) 265-4252

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090810000071 OR Practitioner - Physical Therapist in Private Practice 1153474119 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oregon Coastal RehabGroup PAC ID 8123275070, 2 clinicians

Practice addresses (Care Compare)

1010 SW Coast Hwy
Suite 102
Newport, OR 97365-5239
Phone (541) 265-4252

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5955ORMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Oregon Coastal Rehab/Dba Newport Physical Therapy Physical Therapist CurrentSince Jul 1, 2012 Accepting new patients
Oregon Coastal Rehab/Dba Newport Physical Therapy Past Accepting new patients

Locations

1010 SW Coast Hwy
Ste 102
Newport, OR 97365
Phone (541) 265-4252

Organizations & group practices 2

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": "1244592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1345161600000",
    "number": "1972739449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 SW COAST HWY",
            "address_2": "SUITE 102",
            "city": "NEWPORT",
            "state": "OR",
            "postal_code": "973655288",
            "telephone_number": "541-265-4252",
            "fax_number": "541-265-8914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 SW COAST HWY",
            "address_2": "SUITE 102",
            "city": "NEWPORT",
            "state": "OR",
            "postal_code": "973655288",
            "telephone_number": "541-265-4252",
            "fax_number": "541-265-8914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DODGE HASSELSCHWERT",
        "first_name": "HEATHER",
        "middle_name": "DIANE",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-10",
        "last_updated": "2012-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "5955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.