NICHOLAS D HAGEN DPT, SCS, CSCS
NPI 1609104496
Physical Therapist - Sports in Bend, OR

Q: What is Nicholas Hagen's NPI number?

The NPI number for Nicholas Hagen is 1609104496. It was assigned to this individual provider in the NPPES registry on December 7, 2009.

Q: What is Nicholas Hagen's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Sports, with taxonomy code 2251S0007X.

Q: When was this NPI record last updated?

The NPPES record for Nicholas Hagen was last updated on March 3, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since December 07, 2009

1160 SW SIMPSON AVE, STE 200, BEND, OR 97702(541) 322-9045(541) 322-9044 Get Directions Write a Review

NPPES record last updated: March 3, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 3, 2016, Feb 18, 2016, Nov 19, 2015 (3 updates tracked since 2015).

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About Nicholas D Hagen Dpt, Scs, Cscs NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICHOLAS D HAGEN DPT, SCS, CSCS (NPI 1609104496) is an individual sports provider in Bend, Oregon, licensed in Oregon (6856) and active in the NPI registry since December 2009.

NPPES Registry Identity

NPI1609104496

Entity TypeIndividualMale

Primary Taxonomy2251S0007X

Provider Legal NameNICHOLAS D HAGENCredential: DPT, SCS, CSCS

Location Address1160 SW SIMPSON AVE, STE 200Bend, OR 97702

Mailing Address805 Sw Industrial Way, Ste 3Bend, OR 97702-1093 · (541) 585-2529 · Fax (541) 585-2536

Phone(541) 322-9045

Fax(541) 322-9044

Sole ProprietorNo

Enumeration DateDecember 7, 2009

Last NPPES UpdateMarch 3, 20163 updates tracked since enumeration

✔ NPI 1609104496 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · SportsRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code2251S0007X

License✔ Licensed in OR · 6856

Definition

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.

1160 SW SIMPSON AVE, Bend, OR 97702

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Other Identifiers 2

Medicare PINR184760OR

Medicaid500695874OR

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SUSAN DIANE JONES PT

Physical Therapist

1160 SW SIMPSON AVE, SUITE 200
BEND, OR 97702

Deschutes County (541) 322-9045

GUNN JEANETTE MENEGUS PT

Physical Therapist

1160 SW SIMPSON AVE, STE 200
BEND, OR 97702

Deschutes County (541) 322-9045

CHRISTINA NOEL INMAN PT, DPT, ATC

Physical Therapist

1160 SW SIMPSON AVE, SUITE 200
BEND, OR 97702

Deschutes County (541) 322-9045

CHRISTINE H VERGONA PT

Physical Therapist

1160 SW SIMPSON AVE, SUITE 200
BEND, OR 97702

Deschutes County (541) 322-9045

COLLEEN M SULLIVAN MPT

Physical Therapist

1160 SW SIMPSON AVE, STE 200
BEND, OR 97702

Deschutes County (541) 322-9045

MICHAEL A TOMPKINS PT

Physical Therapist

1160 SW SIMPSON AVE, SUITE 200
BEND, OR 97702

Deschutes County (541) 322-9045

ELLIE R MEYROWITZ PT

Physical Therapist

1160 SW SIMPSON AVE, STE 200
BEND, OR 97702

Deschutes County (541) 322-9045

REBOUND PHYSICAL THERAPY II, LLC

Physical Therapist

1160 SW SIMPSON AVE, SUITE 200
BEND, OR 97702

Deschutes County (541) 322-9045

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nicholas Hagen's NPI number?

The NPI number for Nicholas Hagen is 1609104496. It was assigned to this individual provider in the NPPES registry on December 7, 2009.

Where is Nicholas Hagen located?

Nicholas Hagen practices at 1160 SW Simpson Ave Ste 200, Bend, OR 97702. The listed phone number is (541) 322-9045.

What is Nicholas Hagen's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Sports, with taxonomy code 2251S0007X.

When was this NPI record last updated?

The NPPES record for Nicholas Hagen was last updated on March 3, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.