Active NPI
Anne V Hanks, PT
- Specialist
- Boulder, CO
National Provider Identifier
1114984325
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 2421
- Practice address
- 2346 Broadway St
Ste 1
Boulder, CO 80304-4107 - Phone
- (303) 444-4145
- NPI assigned
- May 1, 2006
- Last updated
- Jan 24, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Specialist | 174400000X | 2421 | CO | Primary |
Addresses
Primary practice location
2346 Broadway St
Ste 1
Boulder, CO 80304-4107
Mailing address
PO Box 21150
Boulder, CO 80308-4150
Phone (303) 546-9158
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MO20263 | Other | CO | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2346 Broadway St
Suite 1
Boulder, CO 80304-4107
Phone (303) 444-4145
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2421 | CO | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mountain Air Physical Therapy PC | Current | Accepting new patients |
Locations
2346 Broadway St
#1
Boulder, CO 80304
Phone (303) 444-4145
2346 Broadway St
Ste 1
Boulder, CO 80304
Phone (303) 444-4145
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- Boulder, CO
- NPI 1215193719
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1201132800000",
"number": "1114984325",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 21150",
"city": "BOULDER",
"state": "CO",
"postal_code": "803084150",
"telephone_number": "303-546-9158",
"fax_number": "303-546-9107"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2346 BROADWAY ST",
"address_2": "STE 1",
"city": "BOULDER",
"state": "CO",
"postal_code": "803044107",
"telephone_number": "303-444-4145"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANKS",
"first_name": "ANNE",
"middle_name": "V",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-05-01",
"last_updated": "2008-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CO",
"license": "2421",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "MO20263",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Boulder, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.