MEDICARE: MICHAEL CORNEA-HASEGAN DPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	181171	AK
2	225100000X	Physical Therapist	PT210002508	DC
3	225100000X	Physical Therapist	CP053690T	GA

General Provider Information

NPI Number	:	1497424188
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL CORNEA-HASEGAN DPT

Provider Business Mailing Address
First Line	:	3455 REWAK DR
Second Line	:
City	:	FAIRBANKS
State	:	AK
Zip	:	99709-5024
Country	:	US
Telephone Number	:	907-457-5322
Fax Number	:

Provider Business Practice Location Address
First Line	:	3455 REWAK DR STE 106
Second Line	:
City	:	FAIRBANKS
State	:	AK
Zip	:	99709-5024
Country	:	US
Telephone Number	:	907-457-5322
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/07/2021
Last Update Date	:	03/12/2026

Similar Medicare Providers

1942551429 — MUNGER PROSTHETICS AND ORTHOTICS, INC.
Practice Location Address:

3455 REWAK DR STE 101
FAIRBANKS, AK
99709-5024

Practice Phone: 907-743-9991
Practice Fax: 907-743-9992

1447657200 — JAMES GRAVES O.D.
Practice Location Address:

3455 REWAK DR , SUITE 102
FAIRBANKS, AK
99709-5024

Practice Phone: 907-474-8695
Practice Fax: 907-474-8727

1437535838 — AARON HUEGEL
Practice Location Address:

3455 REWAK DR
FAIRBANKS, AK
99709-5024

Practice Phone: 907-457-5322
Practice Fax:

1518432186 — REBECCA ROUSSEAU PT, DPT
Practice Location Address:

3455 REWAK DR
FAIRBANKS, AK
99709-5024

Practice Phone: 907-457-5322
Practice Fax:

1801433099 — OSHERAY STREETER DPT
Practice Location Address:

3455 REWAK DR STE 106
FAIRBANKS, AK
99709-5024

Practice Phone: 907-457-5322
Practice Fax:

1700559283 — REBECCAH JEAN CENTOLA PTA
Practice Location Address:

3455 REWAK DR STE 106
FAIRBANKS, AK
99709-5024

Practice Phone: 907-457-5322
Practice Fax:

Directions to “ MICHAEL CORNEA-HASEGAN DPT” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.