Individual provider Active NPI

Hanna Hae Heung Lee, PT

  • Physical Therapist
  • Indianapolis, IN
National Provider Identifier
1073667960
Registry record updated Dec 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
1747 N Rural St
Indianapolis, IN 46218-4425
Phone
(317) 635-1355
NPI assigned
Jan 22, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary
Physical Therapist 225100000X 070015395 IL

Addresses

Primary practice location

1747 N Rural St
Indianapolis, IN 46218-4425

Mailing address

6715 Maple Grove Dr
Indianapolis, IN 46250-4542
Phone (847) 858-1190

Other names 1

  • Hanna Simmons Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211129001963 IN Practitioner - Physical Therapist in Private Practice 8123142197 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070015395ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Healthpro Heritage Rehab & Fitness, LLC Physical Therapist CurrentSince Oct 24, 2021 Accepting new patients
Feel Physical Therapy LLC Physical Therapist CurrentSince Oct 26, 2024 Accepting new patients
Healthpro Heritage Rehab & Fitness, LLC Physical Therapist CurrentSince Oct 24, 2021 Accepting new patients
Aegis Group Practice LLC Physical Therapist CurrentSince Sep 18, 2024 Accepting new patients
Aegis Group Practice LLC Physical Therapist CurrentSince Sep 18, 2024 Accepting new patients
Fox Rehab Indiana LLC Physical Therapist CurrentSince Feb 1, 2023 Accepting new patients
Accelerated Rehabilitation Centers LTD Physical Therapist Past Accepting new patients

Locations

13295 Illinois St
Ste 121
Carmel, IN 46032
Phone (317) 537-7345

14901 Carey Rd
Carmel, IN 46033

98 N 10th St
Greencastle, IN 46135
Phone (765) 301-4642

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639353600000",
    "number": "1073667960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6715 MAPLE GROVE DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462504542",
            "telephone_number": "847-858-1190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1747 N RURAL ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462184425",
            "telephone_number": "317-635-1355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "HANNA",
        "middle_name": "HAE HEUNG",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-22",
        "last_updated": "2021-12-13",
        "certification_date": "2021-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070015395",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HANNA",
            "last_name": "SIMMONS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.