Individual provider Active NPI

Hanna Gratzmiller Blystone, MS,CCC-SLP

  • Speech-Language Pathologist
  • Indiana, PA
National Provider Identifier
1134557408
Registry record updated Dec 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SL011321 Issued in PA
Practice address
835 Hospital Road
Indiana, PA 15701
Phone
(724) 357-7000
NPI assigned
Oct 24, 2013
Last updated
Dec 1, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 1, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SL011321 PA Primary

Addresses

Primary practice location

835 Hospital Road
Indiana, PA 15701

Mailing address

120 Irmc Dr Ste 120
Indiana, PA 15701-3674
Phone (412) 952-4877

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171129002868 PA Practitioner - Qualified Speech Language Pathologist 7214294222 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Indiana Total Therapy, IncGroup PAC ID 1759438856, 17 clinicians

Practice addresses (Care Compare)

120 Irmc Dr
Suite 120
Indiana, PA 15701-3674
Phone (724) 357-7271

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
SL011321PAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Indiana Total Therapy Inc Speech-Language Pathologist CurrentSince Nov 1, 2017 Accepting new patients
Indiana Total Therapy CurrentSince Nov 1, 2017 Accepting new patients

Locations

120 Irmc Dr
Ste 120
Indiana, PA 15701
Phone (724) 357-7068

2010 Shelly Dr
Indiana, PA 15701
Phone (724) 349-2276

835 Hospital Rd
Indiana, PA 15701
Phone (724) 357-7000

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/10717/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1382572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512086400000",
    "number": "1134557408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 IRMC DR STE 120",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157013674",
            "telephone_number": "412-952-4877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "835 HOSPITAL ROAD",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "15701",
            "telephone_number": "724-357-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLYSTONE",
        "first_name": "HANNA",
        "middle_name": "GRATZMILLER",
        "credential": "MS,CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-10-24",
        "last_updated": "2017-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL011321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indiana, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2017; 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.

Verify at the official NPI Registry.