IndividualActive
Jennifer Haag
NPI 1043457419 · Physical Therapist · South Daytona, FL
Provider details
- NPI number
- 1043457419
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 11083-024 (WI)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(86/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
917 Beville Rd
Suite G
South Daytona, FL 32119-1712
Phone: (386) 756-4395
Fax: (866) 426-2811
Street-level locationGet directions
Mailing address
3602 W Southwood Dr
Franklin, WI 53132-9140
Registry dates
- Enumerated
- 2009-01-07
- Last updated
- 2009-01-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.