BRETT HAGEDOORN DPT
NPI 1720112758
Physical Therapist in Daytona Beach, FL

Active since March 14, 2007
1075 MASON AVE, DAYTONA BEACH, FL 32117(386) 255-4596(386) 258-3561 Get Directions Write a Review

NPPES record last updated: July 30, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 30, 2019, Apr 25, 2018 (2 updates tracked since 2018).

About Brett Hagedoorn Dpt NPPES

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

BRETT HAGEDOORN DPT (NPI 1720112758) is an individual physical therapist in Daytona Beach, Florida, licensed in Florida (PT10751) and active in the NPI registry since March 2007. He maintains 4 additional practice locations.

NPPES Registry Identity

NPI1720112758
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameBRETT HAGEDOORNCredential: DPT
Location Address1075 MASON AVEDaytona Beach, FL 32117-4611
Mailing Address1075 Mason AveDaytona Beach, FL 32117-4611 · (386) 255-4596 · Fax (386) 258-3561
Fax(386) 258-3561
Sole ProprietorNo
Enumeration DateMarch 14, 2007
Last NPPES UpdateJuly 30, 20192 updates tracked since enumeration
NPI 1720112758 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License Licensed in FL · PT10751
Definition

Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:<ul><li>Diagnose and manage movement dysfunction and enhance physical and functional abilities.</li><li>Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.</li><li>Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.</li><li>Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.</li><li>Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.</li></ul>PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.

Also ListedPhysical Therapist · OrthopedicTaxonomy 2251X0800X · License PT10751 (FL)
1075 MASON AVE, Daytona Beach, FL 32117

Secondary Practice Locations 4

Location 117 Old Kings Rd N Ste KPalm Coast, FL 32137-8283 · Phone (386) 255-4596 · Fax (386) 258-3561
Location 21165 Dunlawton Ave Ste 102Port Orange, FL 32127-2924 · Phone (386) 255-4596 · Fax (386) 258-3561
Location 31890 Lpga Blvd Ste 240Daytona Beach, FL 32117-7131 · Phone (386) 255-4596 · Fax (386) 258-3561
Location 41175 Dunlawton Ave Ste 1Port Orange, FL 32127-4741 · Phone (386) 255-4596 · Fax (386) 258-3561

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
100%161 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 12

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

Physical Therapist
1075 MASON AVE
DAYTONA BEACH, FL 32117
Specialist
1075 MASON AVE
DAYTONA BEACH, FL 32117
Orthopaedic Surgery
1075 MASON AVE
DAYTONA BEACH, FL 32117
Physical Therapist
1075 MASON AVE
DAYTONA BEACH, FL 32117
Physical Therapist
1075 MASON AVE
DAYTONA BEACH, FL 32117
Orthopaedic Surgery
1075 MASON AVE
DAYTONA BEACH, FL 32117
Physician Assistant
1075 MASON AVE
DAYTONA BEACH, FL 32117
Physical Therapist
1075 MASON AVE
DAYTONA BEACH, FL 32117

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1720112758, enumerated as an "individual" on March 14, 2007.

The provider is located at 1075 MASON AVE DAYTONA BEACH, FL 32117 and the phone number is (386) 255-4596.

Physical Therapist with taxonomy code 225100000X.