JESSICA HAGA – Physical Therapist, NPI 1124626239

JESSICA HAGA is a healthcare provider. based in Bolingbrook, Illinois. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. The NPI Number for JESSICA HAGA is 1124626239

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
JESSICA HAGA
NPI
1124626239
Phone
Not provided
Address
790 REMINGTON BLVD
Enumeration Date
12 October 2020
Last Update Date
12 October 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5099607340
Graduation Year
2020 (6 years ago)
PAC ID
3779996350
Group Practice PAC ID
8325937642
Professional Enrollment ID
I20201229002087
Address ID
WA992181298SP9911XSTXX402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience25
Completeness75
Years active:5State licenses:0Digital endpointsOther names

3,527 PHYSICAL THERAPIST IN PRIVATE PRACTICE in WA

Provider Addresses for JESSICA HAGA

  • 790 REMINGTON BLVD

    BOLINGBROOK, IL 604404909

    Phone:

    Type: Mailing

  • 720 12TH ST SE

    AUBURN, WA 980026708

    Phone: (253) 735-3606

    Type: Location

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.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

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

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2020-12-29

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20201229002087IPhysical Therapist In Private PracticeWATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97530Therapy procedure using functional activities1,210104$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes26074$0
97140Therapy procedure using manual technique, each 15 minutes12535$0
97161Evaluation for physical therapy, typically 20 minutes5652$0
View full utilization report →

Insurance plans in this area (ZIP 60440)

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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: 8325937642View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeWA
Occupational Therapist In Private PracticeAZ
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeID
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeOR
-OR
Physical Therapist In Private PracticeWA

Reviews

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Frequently asked questions

What NPI should I save for JESSICA HAGA?
Save NPI 1124626239 if you need a stable reference for JESSICA HAGA.
Does this profile mean JESSICA HAGA is currently active?
Yes — JESSICA HAGA appears active in the national provider directory.
What field does JESSICA HAGA work in?
You can think of JESSICA HAGA as practicing within Physical Therapist. Clinical services aligned with this taxonomy classification.
Does JESSICA HAGA practice in Illinois?
You will see Bolingbrook, Illinois on file for JESSICA HAGA alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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