Individual provider Active NPI

Hanna Marin Brunty, DPT

  • Physical Therapist
  • Henderson, NV
National Provider Identifier
1144061508
Registry record updated Jun 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
11201 S Eastern Ave Ste 220
Henderson, NV 89052-6202
Phone
(702) 614-0324
Fax
(702) 341-0324
NPI assigned
Jun 1, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NV Primary

Addresses

Primary practice location

11201 S Eastern Ave Ste 220
Henderson, NV 89052-6202

Mailing address

1710 W Horizon Ridge Pkwy Ste 110
Henderson, NV 89012-4901
Phone (702) 489-9217

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240725004365 NV Practitioner - Physical Therapist in Private Practice 6709322779 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Nevada, Las Vegas School of Medicine, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anthem Physical Therapy IncGroup PAC ID 6709785934, 11 clinicians

Practice addresses (Care Compare)

11201 S Eastern Ave
Suite 220
Henderson, NV 89052-6202
Phone (702) 614-0324

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Anthem Physical Therapy, Inc. Physical Therapist CurrentSince Jun 17, 2024 Accepting new patients

Locations

1710 W Horizon Ridge Pkwy
Ste 110
Henderson, NV 89012
Phone (702) 489-9217

11201 S Eastern Ave
Ste 220
Henderson, NV 89052
Phone (702) 614-0324

9625 W Saddle Ave
Ste 120
Las Vegas, NV 89147
Phone (702) 212-2744

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1717200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717200000000",
    "number": "1144061508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1710 W HORIZON RIDGE PKWY STE 110",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890124901",
            "telephone_number": "702-489-9217",
            "fax_number": "702-489-9134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11201 S EASTERN AVE STE 220",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890526202",
            "telephone_number": "702-614-0324",
            "fax_number": "702-341-0324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUNTY",
        "first_name": "HANNA",
        "middle_name": "MARIN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-01",
        "last_updated": "2024-06-01",
        "certification_date": "2024-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2024; 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.