Hannah Renee Gores, PTA – Physical Therapy Assistant

Key facts

NPI: 1104533280
Entity type: Individual (NPI type 1)
Primary specialty: Physical Therapy Assistant 225200000X
License: PTA.0015260 (CO)
Practice address: 243 E 3Rd PL
Byers, CO 80103-9755
Phone: (937) 631-3927
NPI assigned: Oct 31, 2022
Sex: Female
Sole proprietor: No

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
PTA.0015260	CO	MD	Physical Therapy Assistant

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Physical Therapy Assistant	225200000X	PTA.0015260	CO	Yes

Addresses

Primary practice location

243 E 3Rd PL
Byers, CO 80103-9755

Mailing address

243 E 3Rd PL
Byers, CO 80103-9755
Phone (937) 631-3927

Other names

Hannah Renee Zischler Former name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 31, 2022.

{
    "created_epoch": "1667174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667174400000",
    "number": "1104533280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "243 E 3RD PL",
            "city": "BYERS",
            "state": "CO",
            "postal_code": "801039755",
            "telephone_number": "937-631-3927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "243 E 3RD PL",
            "city": "BYERS",
            "state": "CO",
            "postal_code": "801039755",
            "telephone_number": "937-631-3927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORES",
        "first_name": "HANNAH",
        "middle_name": "RENEE",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-31",
        "last_updated": "2022-10-31",
        "certification_date": "2022-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CO",
            "license": "PTA.0015260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HANNAH",
            "last_name": "ZISCHLER",
            "middle_name": "RENEE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Byers, CO

All providers in Byers, CO · Physical Therapy Assistant in Colorado

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 31, 2022. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.