BRETT HAGEDOORN (DPT) – Physical Therapist, NPI 1720112758

BRETT HAGEDOORN (DPT) is a healthcare provider. based in Port orange, Florida. specializing in Physical Therapist. They hold the professional credentials DPT. They hold a License No. PT10751 (FL). The NPI Number for BRETT HAGEDOORN (DPT) is 1720112758

Main info

Male
25 Years Of Experience
Accepts Medicare Assignment
Name
BRETT HAGEDOORN (DPT)
NPI
1720112758
Phone
(386) 255-4596
Address
1165 Dunlawton Ave Ste 102
Enumeration Date
14 March 2007
Last Update Date
30 July 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3862554596
Graduation Year
2001 (25 years ago)
PAC ID
7113176405
Group Practice PAC ID
9335123504
Professional Enrollment ID
I20121002000178
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for BRETT HAGEDOORN (DPT)

  • 1165 Dunlawton Ave Ste 102

    Port Orange, FL 321272924

    Phone: (386) 255-4596

    Fax: (386) 258-3561

    Type: Location

  • 17 Old Kings Rd N Ste K

    Palm Coast, FL 321378283

    Phone: (386) 255-4596

    Fax: (386) 258-3561

    Type: Location

  • 1890 Lpga Blvd Ste 240

    Daytona Beach, FL 321177131

    Phone: (386) 255-4596

    Fax: (386) 258-3561

    Type: Location

  • 1175 Dunlawton Ave Ste 1

    Port Orange, FL 321274741

    Phone: (386) 255-4596

    Fax: (386) 258-3561

    Type: Location

  • 1075 MASON AVE

    DAYTONA BEACH, FL 321174611

    Phone: (386) 255-4596

    Fax: (386) 258-3561

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32127)

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Provider's Procedures

BRETT HAGEDOORN (DPT) performs procedures in Physical Therapist. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICAL THERAPYFL97110Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes87654

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9335123504View full group profile
NameSpecialtyState
Orthopedic SurgeryFL
Orthopedic SurgeryFL
Orthopedic SurgeryFL
Physical Therapist In Private PracticeFL
Physician AssistantFL
Physical Therapist In Private PracticeFL
Nurse PractitionerFL
Nurse PractitionerFL
Occupational Therapist In Private PracticeFL
Orthopedic SurgeryFL

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Frequently asked questions

Does BRETT HAGEDOORN (DPT) have a public NPI I can cite?
Public records show BRETT HAGEDOORN (DPT) under NPI 1720112758.
Is BRETT HAGEDOORN (DPT)'s NPI status active today?
Active status means BRETT HAGEDOORN (DPT)'s NPI record is not deactivated in the public file.
How should patients interpret BRETT HAGEDOORN (DPT)'s specialty?
The extract shows Physical Therapist for BRETT HAGEDOORN (DPT). Clinical services aligned with this taxonomy classification.
What city is tied to BRETT HAGEDOORN (DPT)?
The directory associates BRETT HAGEDOORN (DPT) with Port Orange, Florida. Check all listed addresses for suites or satellite offices.
Who maintains BRETT HAGEDOORN (DPT)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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