Hansa Atwal
Individual provider Active NPI Physical Therapist · Oklahoma City, OK
NPI 1023507142 · NPPES record last updated Jun 23, 2023
Key facts
- NPI
- 1023507142
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 1317279 (TX)
- Practice address
- 8809 S Sooner Rd Ste E
Oklahoma City, OK 73135-6605 - Phone
- (405) 455-7860
- Fax
- (405) 455-7865
- NPI assigned
- May 3, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220414000153 | TX | Practitioner - Physical Therapist in Private Practice | 1951656420 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5488 | OK | MD | Oral and Maxillofacial Surgery (Dentist) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthpro Heritage Rehab & Fitness, LLC | Physical Therapist | Current |
Accepting new patients |
| Texas Luna Care Physical Therapy LLC | Physical Therapist | Current |
Accepting new patients |
| Healthpro Heritage Rehab & Fitness, LLC | Physical Therapist | Current |
Accepting new patients |
| Image Redefined | Past |
Accepting new patients |
Locations
265 Plateau Dr
McKinney, TX 75069
Phone (512) 277-6405
180 State St
Ste 225
Southlake, TX 76092
Phone (682) 429-7066
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5488 | OK | |
| Physical Therapist | 225100000X | 1317279 | TX | Yes |
Addresses
Primary practice location
8809 S Sooner Rd Ste E
Oklahoma City, OK 73135-6605
Mailing address
PO Box 9907
Moore, OK 73153-5307
Phone (405) 455-7860
Other names
- Hansa Khithani
Other providers in Oklahoma City, OK
- Mohamed Nabil Attaya
- Antonio Atte
- Mazie Atteberry
- Angela Atterberry
- Chauncey Atterberry
- Doaa Atwi
- Lorraine Marie Auchter
- Audio Recovery Inc.
- Audio Recovery, Incorporated
- Audiology Clinic
All providers in Oklahoma City, OK · Physical Therapist in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 23, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.