MR. DALE DOUGLAS HAZARD (NPI# 1861998411) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861998411 |
| Entity Type | Individual |
| Full Name | MR. DALE DOUGLAS HAZARD |
| Credential | MPT |
| Practice Address |
24 Frank Lloyd Wright Dr Ann Arbor MI 48105-9484 |
| Practice Telephone | 7349307400 |
| Mailing Telephone | 7349307400 |
| Enumeration Date | 2018-04-03 |
| Last Update Date | 2018-04-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 5501010365 | MI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 5501010365 | 05 |
| Street Address |
24 FRANK LLOYD WRIGHT DR |
| City | ANN ARBOR |
| State | MI |
| Zip Code | 48105-9484 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174529127 | Paula Tuohy Miska | Nurse Practitioner | 24 Frank Lloyd Wright Dr, Ann Arbor, MI 48109 | 2005-06-23 |
| 1629540992 | Regents of The University of Michigan | Durable Medical Equipment & Medical Supplies | 24 Frank Lloyd Wright Dr, Ann Arbor, MI 48105-9484 | 2018-12-26 |
| 1477021160 | Lisa Jane Bosio | Registered Nurse | 24 Frank Lloyd Wright Dr, Lobby C Suite 1300, Ann Arbor, MI 48105-9484 | 2018-11-12 |
| 1770073199 | Regents of The University of Michigan | Dietitian, Registered | 24 Frank Lloyd Wright Dr, Dominos Farms Lobby C Suite 1300, Ann Arbor, MI 48106 | 2018-05-10 |
| 1144724303 | Kanisha Ward | Specialist/Technologist | 24 Frank Lloyd Wright Dr, Ann Arbor, MI 48105-9484 | 2018-03-22 |
| 1851894109 | Kristy Jo Bonasso | Occupational Therapist | 24 Frank Lloyd Wright Dr, Ann Arbor, MI 48105-9484 | 2018-03-13 |
| 1932602612 | Eric Kilpatrick | Specialist/Technologist | 24 Frank Lloyd Wright Dr, Ann Arbor, MI 48105-9484 | 2018-03-09 |
| 1679075659 | Kristen Hope Schuyten | Physical Therapist | 24 Frank Lloyd Wright Dr, Ann Arbor, MI 48105-9484 | 2018-03-06 |
| 1912409897 | Gary Kufel | Physical Medicine & Rehabilitation | 24 Frank Lloyd Wright Dr, Ann Arbor, MI 48105-9484 | 2018-03-06 |
| 1093217317 | Courtney Brejnak | Physical Therapist | 24 Frank Lloyd Wright Dr, Ann Arbor, MI 48105-9484 | 2018-03-02 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730728718 | Alexander Jendrusina | Psychologist | Va Ann Arbor Healthcare System, 2215 Fuller Rd, Ann Arbor, MI 48105 | 2019-12-23 |
| 1417515875 | Christine Shyh Wang | Student in an Organized Health Care Education/Training Program | 4029 Avenue Maria Drive, Lobby A, Suite 1200, Ann Arbor, MI 48105 | 2019-05-31 |
| 1013475003 | Ryan Wang | Physician Assistant | 4883 S. Ridgeside Cir, Ann Arbor, MI 48105 | 2019-03-08 |
| 1801366265 | Amruta Sonavaria | Physical Therapist | 4701 East Huron River Drive, Ann Arbor, MI 48105 | 2018-11-28 |
| 1568955730 | Alexander Sliwicki | Pediatrics | 1500 East Medical Drive, Medical Professional Building, Ann Arbor, MI 48105 | 2018-06-12 |
| 1902398464 | Austin Remington | Student in an Organized Health Care Education/Training Program | 4029 Ave Maria Drive, Lobby A, Suite 1200, Ann Arbor, MI 48105 | 2018-05-31 |
| 1881191658 | Stephen James Hickner | Student in an Organized Health Care Education/Training Program | St. Mary Mercy Outpatient Psychiatric Services, 2006 Hogback Road, Suite 1, Ann Arbor, MI 48105 | 2018-04-09 |
| 1245681709 | Winnie Nhan | Internal Medicine | 4000 Ave Maria Dr, Lobby C Suite 1300, Ann Arbor, MI 48105 | 2016-06-27 |
| 1861857971 | Connie Chen | Pharmacist | 2215 Fuller Road (119), Ann Arbor, MI 48105 | 2015-12-17 |
| 1407241193 | Stefan Craciun | Emergency Medicine | 3484 Ashburnam Rd, Ann Arbor, MI 48105 | 2015-03-31 |
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| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003448994 | Michigan Luna Care Physical Therapy, LLC | Physical Therapist | 206 S 5th Ave Ste 550, Ann Arbor, MI 48104-2268 | 2020-02-07 |
| 1568010593 | Geena Kerr | Physical Therapist | 4200 Whitehall Dr Ste 210, Ann Arbor, MI 48105-9694 | 2019-09-03 |
| 1528540515 | Selma Joseph | Physical Therapist | 1848 Stonebridge Dr S, Ann Arbor, MI 48108-8569 | 2018-09-05 |
| 1851870935 | Kailtyn Bachman | Physical Therapist | 4350 Jackson Rd Ste 360, Ann Arbor, MI 48103-1962 | 2018-08-09 |
| 1720582885 | Regina Ann Keranen | Physical Therapist | University of Michigan Health System, 1500 E. Medical Center Drive, Ann Arbor, MI 48109 | 2018-03-22 |
| 1265936546 | Cynthia Douglas | Physical Therapist | 1500 E Medical Center Dr # 1f249, Ann Arbor, MI 48109-5000 | 2018-03-21 |
| 1205339769 | Amelia Louis-ferdinand | Physical Therapist | 325 E Eisenhower Pkwy Ste 1, Ann Arbor, MI 48108-3334 | 2018-03-12 |
| 1619470341 | Trina Knous Demott | Physical Therapist | 1500 E Medical Center Dr Rm 1f249, Ann Arbor, MI 48109-5000 | 2018-03-08 |
| 1982106803 | Cynthia Enderle Munday | Physical Therapist | 325 E Eisenhower Pkwy Ste 2, Ann Arbor, MI 48108-3346 | 2018-03-07 |
| 1376045153 | Sarah Mcallister | Physical Therapist | 1500 E Medical Center Dr # 1f249-uh, Ann Arbor, MI 48109-5000 | 2018-03-07 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.