Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dana Alexander Hazlett

Individual provider Physical Therapist · NPI 1205501160

Dana Alexander Hazlett is a Physical Therapist in Private Practice in San Diego, California. Qualified in 2021, 5 years ago. Practices with Rise Physical Therapy Inc, a 58-clinician group. Licensed in California.

Years since qualifying
5
Licensed in
CA
In the registry since
2021

Practice location Address checks out

2495 Truxtun Rd Ste 200
San Diego, CA 92106-6159
Phone: (858) 755-5200
Fax: (619) 223-2307
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 300438 (CA)

Record details

NPI number1205501160
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 12, 2021
Last updated in NPPESAugust 27, 2021
Certification dateAugust 27, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Rise Physical Therapy Inc — 58 clinicians
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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