Ian Hazelton, PT is a
Specialist/technologist - Athletic Trainer based in Manchester, Connecticut. Ian Hazelton is licensed to practice in Connecticut (license number 000302) and his current practice location is
252 North Main Street, Eastern Rehabilitation Network 5th Floor, Manchester, Connecticut. He can be reached at his office (for appointments etc.) via phone at
(860) 643-3562.
NPI number for Ian Hazelton is 1285604546 and his current mailing address is 181 Patricia Genova Drive, Eastern Rehabilitation Network 5th Floor, Newington, Connecticut. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1285604546.
Healthcare Provider's Profile
Full Name | Ian Hazelton |
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Gender | Male |
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Speciality | Specialist/technologist - Athletic Trainer |
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Location | 252 North Main Street, Manchester, Connecticut |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1285604546
- Provider Enumeration Date: 01/26/2006
- Last Update Date: 07/09/2007
Medical Identifiers
Medical identifiers for Ian Hazelton such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1285604546 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225100000X | Physical Therapist | 006992 (Connecticut) | Primary |
2255A2300X | Specialist/technologist - Athletic Trainer | 000302 (Connecticut) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ian Hazelton is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Ian Hazelton, PT 181 Patricia Genova Drive, Eastern Rehabilitation Network 5th Floor, Newington, CT 06111 Ph: (860) 667-5449 | Ian Hazelton, PT 252 North Main Street, Eastern Rehabilitation Network 5th Floor, Manchester, CT 06040 Ph: (860) 643-3562 |
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