MARK STANLEY HAGLER, PTA — NPI 1205170875 (Licensed & Credentialed Physical Therapy Assistant in GLENVIEW, IL)

CMS-1500 Box 24J / 33a • NPI

1205170875

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

225200000X

Licensed & Credentialed Physical Therapy Assistant

Box 32 Service Location & ZIP+4

3703 W LAKE AVE, SUITE 200, GLENVIEW, IL, 60026-1223

✓ 9-Digit EDI 837 ZIP+4 (60026-1223)

Practice Phone & Referral Fax

(847) 998-1188

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1205170875 (MARK STANLEY HAGLER, PTA) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1205170875` (NPI-1 Individual Practitioner)
Provider / Legal Name	MARK STANLEY HAGLER, PTA
Plain-English Specialty	Licensed & Credentialed Physical Therapy Assistant NUCC Code: `225200000X` (Physical Therapy Assistant)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	3703 W LAKE AVE, SUITE 200, GLENVIEW, IL, 60026-1223
Practice Telephone / Fax	Tel: (847) 998-1188
Administrative Mailing Address	1 VETERANS DR, MANTENO, IL, 60950-9466
Enumeration & Last Sync	Enumerated: 2012-11-20 \| CMS Record Updated: 2012-11-20

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

3703 W LAKE AVE, SUITE 200, GLENVIEW, IL, 60026-1223

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Plain-English Taxonomy & CMS Crosswalk (225200000X)

What Does Taxonomy Code 225200000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 225200000X translates to:
"Licensed & Credentialed Physical Therapy Assistant"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Physical Therapy Assistant for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (MARK STANLEY HAGLER, PTA)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`225200000X` — Physical Therapy Assistant Plain English: Licensed & Credentialed Physical Therapy Assistant	State: IL \| License: `160006216` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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MARK STANLEY HAGLER, PTA (NPI #1205170875)