Angela D Hannula, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PTL10444 Issued in CO

Practice address

200 Robinson St Ste D300
Basalt, CO 81621-8464

Phone

(970) 718-7100

NPI assigned

Aug 20, 2009

Last updated

Apr 20, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Vail Clinic IncGroup PAC ID 3577475714, 117 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75.38 of 100Reported as group

Quality

55.42

Promoting interoperability

96

Improvement activities

40

Cost

65.85

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: vvmc.direct@direct.vvmc.com

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.

• Vail Clinic, Inc.

  dba Vail Health Hospital

  • General Acute Care Hospital
  • Vail, CO
  • NPI 1992812333
  Medicare reassignment Care Compare group NPD
• Vail Clinic Inc

  dba Howard Head Sports Medicine at Gypsum

  • Clinic/Center
  • Gypsum, CO
  • NPI 1538716741
  NPD
• Vail Clinic, Inc.

  dba Precourt Healing Center

  • General Acute Care Hospital
  • Edwards, CO
  • NPI 1659151009
  NPD

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

{
    "created_epoch": "1250726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650412800000",
    "number": "1205068517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 40000",
            "city": "VAIL",
            "state": "CO",
            "postal_code": "816587520",
            "telephone_number": "970-476-2451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 ROBINSON ST STE D300",
            "city": "BASALT",
            "state": "CO",
            "postal_code": "816218464",
            "telephone_number": "970-718-7100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "505 S Main St Ste 4",
            "address_purpose": "LOCATION",
            "city": "Breckenridge",
            "state": "CO",
            "postal_code": "804248745",
            "country_code": "US",
            "telephone_number": "970-547-2763",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "52 Lundgren Blvd",
            "address_purpose": "LOCATION",
            "city": "Gypsum",
            "state": "CO",
            "postal_code": "816375001",
            "country_code": "US",
            "telephone_number": "970-777-2700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "377 Sylvan Lake Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Eagle",
            "state": "CO",
            "postal_code": "816316779",
            "country_code": "US",
            "telephone_number": "970-328-6715",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "320 Beard Creek Rd",
            "address_purpose": "LOCATION",
            "city": "Edwards",
            "state": "CO",
            "postal_code": "816326433",
            "country_code": "US",
            "telephone_number": "970-569-7770",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "126 Riverfront Ln Unit C107",
            "address_purpose": "LOCATION",
            "city": "Avon",
            "state": "CO",
            "postal_code": "816206860",
            "country_code": "US",
            "telephone_number": "970-845-9600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1280 Village Rd Ste 324C",
            "address_purpose": "LOCATION",
            "city": "Avon",
            "state": "CO",
            "postal_code": "816205374",
            "country_code": "US",
            "telephone_number": "970-949-5522",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "181 W Meadow Dr",
            "address_purpose": "LOCATION",
            "city": "Vail",
            "state": "CO",
            "postal_code": "816575242",
            "country_code": "US",
            "telephone_number": "970-476-2451",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Basecamp Way Ste 105",
            "address_purpose": "LOCATION",
            "city": "Frisco",
            "state": "CO",
            "postal_code": "804435967",
            "country_code": "US",
            "telephone_number": "970-668-3169",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "365 Dillon Ridge Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Dillon",
            "state": "CO",
            "postal_code": "804356343",
            "country_code": "US",
            "telephone_number": "970-262-0179",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HANNULA",
        "first_name": "ANGELA",
        "middle_name": "D",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-20",
        "last_updated": "2022-04-20",
        "certification_date": "2022-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL10444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "VVMC.DIRECT@direct.vvmc.com",
            "affiliation": "Y",
            "affiliationName": "VAIL CLINIC INC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "200 Robinson St Ste D300",
            "city": "Basalt",
            "state": "CO",
            "country_code": "US",
            "postal_code": "816218464",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "VVMC.DIRECT@direct.vvmc.com",
            "affiliation": "Y",
            "affiliationName": "Vail Clinic, Inc.",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "181 W Meadow Dr",
            "city": "Vail",
            "state": "CO",
            "country_code": "US",
            "postal_code": "816575242",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Physical Therapist in Basalt, CO
• Providers in Basalt, CO by specialty
• Physical Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2022; 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.