Kelly Joy Haberer, PT
Physical Therapist in Austin, TX. Individual provider (NPI-1).
NPI number1114201696
StatusActive
Last updated in NPPESJun 13, 2023
Details
- NPI
- 1114201696
- Entity type
- Individual (NPI-1)
- Name
- Kelly Joy Haberer
- Credential
- PT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 3, 2011
- Certification date
- Jun 13, 2023
- Last updated
- Jun 13, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PHYSICAL THERAPIST IN PRIVATE PRACTICE
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | – | TX | Yes |
Practice location
8500 Bluffstone CvAustin, TX 78759-7808
Phone 800-967-4667
Mailing address
8500 Bluffstone Cv Ste A201Austin, TX 78759-7846
Is something wrong?
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