Active NPI
Todd Lewis Hanna, OTR L
- Occupational Therapist
- Bountiful, UT
National Provider Identifier
1093889669
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 5240470-4201
- Practice address
- 401 South 400 East
Mountain Land Rehabiliation
Bountiful, UT 84010 - Phone
- (801) 397-8151
- Fax
- (901) 397-8051
- NPI assigned
- Nov 17, 2006
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 5240470-4201 | UT | Primary |
Addresses
Primary practice location
401 South 400 East
Mountain Land Rehabiliation
Bountiful, UT 84010
Mailing address
401 South 400 East
Mountain Land Rehabiliation
Bountiful, UT 84010
Phone (801) 397-8151
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| D4800 | Medicaid | UT |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5240470-4201 | UT | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1093889669",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 SOUTH 400 EAST",
"address_2": "MOUNTAIN LAND REHABILIATION",
"city": "BOUNTIFUL",
"state": "UT",
"postal_code": "84010",
"telephone_number": "801-397-8151",
"fax_number": "901-397-8051"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 SOUTH 400 EAST",
"address_2": "MOUNTAIN LAND REHABILIATION",
"city": "BOUNTIFUL",
"state": "UT",
"postal_code": "84010",
"telephone_number": "801-397-8151",
"fax_number": "901-397-8051"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANNA",
"first_name": "TODD",
"middle_name": "LEWIS",
"name_prefix": "Mr.",
"credential": "OTR L",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "UT",
"license": "5240470-4201",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "D4800",
"state": "UT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bountiful, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.