Active NPI
Hannah Alexandra Bevilacqua, DPT
- Physical Therapist
- Lynnwood, WA
National Provider Identifier
1114789641
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PU61489670
- Practice address
- 20818 44TH Ave W Ste 207B
Lynnwood, WA 98036-7709 - Phone
- (425) 672-9219
- NPI assigned
- Jan 30, 2024
- Sex
- Female
- 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 | PU61489670 | WA | Primary |
Addresses
Primary practice location
20818 44TH Ave W Ste 207B
Lynnwood, WA 98036-7709
Mailing address
15300 NE 99TH Cir
Vancouver, WA 98682-2333
Phone (360) 901-9326
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 |
|---|---|---|---|
| PU61489670 | WA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1706572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706572800000",
"number": "1114789641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15300 NE 99TH CIR",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986822333",
"telephone_number": "360-901-9326"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20818 44TH AVE W STE 207B",
"city": "LYNNWOOD",
"state": "WA",
"postal_code": "980367709",
"telephone_number": "425-672-9219"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEVILACQUA",
"first_name": "HANNAH",
"middle_name": "ALEXANDRA",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-01-30",
"last_updated": "2024-01-30",
"certification_date": "2024-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PU61489670",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lynnwood, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.