NPI Code Detail JSON Logo

1831795392 NPI number — SASHAL HAGAN PT

NPI Number: 1831795392
Health Care Provider/Practitioner: SASHAL HAGAN PT

Information about “1831795392” NPI (SASHAL HAGAN PT) exists in 1831795392 in HTML format HTML  |  1831795392 in plain Text format TXT  |  1831795392 in PDF (Portable Document Format) PDF  |  1831795392 in an XML format XML  formats.

NPI Number : 1831795392 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1831795392",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "HAGAN",
    "FirstName": "SASHAL",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "PT",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "408 HIGUERA ST STE 200",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SAN LUIS OBISPO",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "93401-6135",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "805-788-0805",
    "MailingAddressFaxNumber": "805-788-0845",
    "FirstLinePracticeLocationAddress": "1572 SAND HILL RD STE 101",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "CANDLER",
    "PracticeLocationAddressStateName": "NC",
    "PracticeLocationAddressPostalCode": "28715-0470",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "828-552-5342",
    "PracticeLocationAddressFaxNumber": "828-641-9303",
    "EnumerationDate": "12/09/2020",
    "LastUpdateDate": "12/10/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "225100000X",
        "TaxonomyName": "Physical Therapist",
        "LicenseNumber": "P19107",
        "LicenseNumberStateCode": "NC",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY  GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
      }
    }
  }
}
                
            

Copyright © 2007-2025 Data Labs Health. All rights reserved.