National Provider Identifier
Derek James Hagen
Derek James Hagen is listed in the NPPES registry with a primary specialty of Physical Therapist in Rochester, NY and a listed phone number of (585) 458-7910.
Profile Overview
- NPI
- 1588998256
- Provider Type
- Individual
- Primary Specialty
- Physical Therapist
- Enumeration Date
- September 28, 2009
- Last Updated
- December 27, 2011
Practice Location
- 687 Lee RD Ste 208
- Rochester, NY 14606-4259
Phone: (585) 458-7910
Specialties
- Physical Therapist (225100000X)
Full Record
- NPI
- 1588998256
- Entity Type
- Individual
- Last Name
- Hagen
- First Name
- Derek
- Middle Name
- James
- Name Prefix
- Dr.
- Mailing Street Address
- 687 Lee RD Ste 208
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14606-4259
- Mailing Country
- US
- Practice Street Address
- 687 Lee RD Ste 208
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14606-4259
- Practice Country
- US
- Practice Phone
- (585) 458-7910
- Enumeration Date
- September 28, 2009
- Last Updated
- December 27, 2011
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physical Therapist (225100000X)