IndividualActive
Kyle Hagerich
NPI 1700394194 · Physical Therapy Assistant · Stanton, NE
Provider details
- NPI number
- 1700394194
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- PTA011513 (OH)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 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
301 17th St
Stanton, NE 68779-2302
Phone: (402) 439-2111
Street-level locationGet directions
Mailing address
25177 Sw Parkway Ave
Wilsonville, OR 97070
Registry dates
- Enumerated
- 2018-01-19
- Last updated
- 2018-01-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.