Brenton Hamann, PT

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

LPT-31397 Issued in AZ

Practice address

21321 E Ocotillo Rd Ste I122
Queen Creek, AZ 85142-7591

Phone

(480) 987-1870

NPI assigned

Oct 13, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Above & Beyond Therapy Services LLC

  • Physical Therapy Clinic/Center
  • Phoenix, AZ
  • NPI 1124011812

  Physical Therapist

  NPD
• Above & Beyond Therapy Services

  • Specialist
  • Queen Creek, AZ
  • NPI 1215252655
  NPD (past)

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

{
    "created_epoch": "1602547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602547200000",
    "number": "1194323006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21321 E OCOTILLO RD STE I122",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851427591",
            "telephone_number": "480-987-1870",
            "fax_number": "480-987-9289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21321 E OCOTILLO RD STE I122",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851427591",
            "telephone_number": "480-987-1870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMANN",
        "first_name": "BRENTON",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-10-13",
        "last_updated": "2020-10-13",
        "certification_date": "2020-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "AZ",
            "license": "LPT-31397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Halcomb Orthodontics LLC
• Michael Jordan Halcomb, DDS
• Flint C Hales, MD
• Aubri Hall
• Rebecca Rose Halstead, LAT
• Sharee C Hamblin, RN
• Jeffrey J. Hamilton
• Sonya Hamilton
• Elisabeth Hansen, RBT
• Frida Ploufmann Hanson, FNP-C

• Physical Medicine & Rehabilitation Physician in Queen Creek, AZ
• Providers in Queen Creek, AZ by specialty
• Physical Medicine & Rehabilitation Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.