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

Individual provider Physical Therapist · NPI 1174493571

Jack Haugen, DPT is a Physical Therapist in Private Practice in Glendale, Arizona. Qualified in 2025, 1 year ago. Practices with Spooner Physical Therapy and Hand Rehab, PC, a 200-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
1
Licensed in
AZ
In the registry since
2025
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

5281 N 99th Ave Ste 200
Glendale, AZ 85305-3199
Phone: (623) 889-0411
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 034465 (AZ)

Record details

NPI number1174493571
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedNovember 10, 2025
Last updated in NPPESNovember 11, 2025
Certification dateNovember 11, 2025
Mailing address14287 N 87th St Ste 220, Scottsdale, AZ 85260-3698

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Spooner Physical Therapy And Hand Rehab, Pc — 200 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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