Active NPI
Mickael Hanon, DPT
- Physical Therapist
- Charleroi, PA
National Provider Identifier
1053744672
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT022833
- Practice address
- 625 Lincoln Ave
Suite 207
Charleroi, PA 15022-2451 - Phone
- (724) 483-4886
- Fax
- (724) 489-4758
- NPI assigned
- Aug 19, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT022833 | PA | Primary |
Addresses
Primary practice location
625 Lincoln Ave
Suite 207
Charleroi, PA 15022-2451
Mailing address
625 Lincoln Ave
Suite 207
Charleroi, PA 15022-2451
Phone (724) 483-4886
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT022833 | PA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1376870400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1376870400000",
"number": "1053744672",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "625 LINCOLN AVE",
"address_2": "SUITE 207",
"city": "CHARLEROI",
"state": "PA",
"postal_code": "150222451",
"telephone_number": "724-483-4886",
"fax_number": "724-489-4758"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "625 LINCOLN AVE",
"address_2": "SUITE 207",
"city": "CHARLEROI",
"state": "PA",
"postal_code": "150222451",
"telephone_number": "724-483-4886",
"fax_number": "724-489-4758"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANON",
"first_name": "MICKAEL",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-08-19",
"last_updated": "2013-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT022833",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Charleroi, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.