NICHOLAS D HAGEN DPT, SCS, CSCS
NPI 1609104496
Physical Therapist - Sports in Bend, OR
- Individual
- Male
- Physical Therapist
- Sports
About NICHOLAS HAGEN
This page provides the complete NPI Profile along with additional information for Nicholas Hagen, a provider established in Bend, Oregon with a medical specialization in Physical Therapist, focusing in sports . The healthcare provider is registered in the NPI registry with number 1609104496 assigned on December 2009. The practitioner's primary taxonomy code is 2251S0007X with license number 6856 (OR). The provider is registered as an individual and his NPI record was last updated 10 years ago.
- NPI
- 1609104496 Verify this NPI
- Provider Name
- NICHOLAS D HAGEN DPT, SCS, CSCS
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1160 SW SIMPSON AVE STE 200 BEND, OR 97702
- Location Phone
- (541) 322-9045
- Location Fax
- (541) 322-9044
- Mailing Address
- 805 SW INDUSTRIAL WAY STE 3 BEND, OR 97702
- Mailing Phone
- (541) 585-2529
- Mailing Fax
- (541) 585-2536
- Is Sole Proprietor?
- No
- Enumeration Date
- 12-07-2009
- Last Update Date
- 03-03-2016
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Physical Therapist Sports
- Taxonomy Code
- 2251S0007X
- Type
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- License No.
- 6856
- License State
- OR
- Taxonomy Description
- A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Sports Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science, pathology and pathophysiology, medical and surgical intervention, and health and wellness, as well as rehabilitation/return to sports, management of acute injury/illness, medical and surgical consideration, injury prevention, and sports performance enhancement.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| R184760 | MEDICARE PIN (08) | OR | |
| 500695874 | MEDICAID (05) | OR |
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Other Providers at the Same Location
The following 9 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1609104496, enumerated as an "individual" on December 07, 2009.
The provider is located at 1160 SW SIMPSON AVE STE 200 BEND, OR 97702 and the phone number is (541) 322-9045.
Physical Therapist with taxonomy code 2251S0007X and a focus in Sports.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
