Individual provider Active NPI

Dianna Hanna

  • Physical Therapist
  • Bloomingdale, IL
National Provider Identifier
1225752272
Registry record updated Oct 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070.026941 Issued in IL
Practice address
158 E Lake St
Bloomingdale, IL 60108-1166
Phone
(708) 627-9945
NPI assigned
Oct 3, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2022

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 070.026941 IL Primary

Addresses

Primary practice location

158 E Lake St
Bloomingdale, IL 60108-1166

Mailing address

805 Vera LN
Wheeling, IL 60090-4500
Phone (847) 924-4038

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230122000027 IL Practitioner - Physical Therapist in Private Practice 9133590599 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Relive Physical Therapy LLCGroup PAC ID 6305100629, 6 clinicians

Practice addresses (Care Compare)

729 N York St
Elmhurst, IL 60126-1607
Phone (708) 390-3362

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070.026941ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Relive Physical Therapy LLC Physical Therapist CurrentSince Jul 8, 2023 Accepting new patients

Locations

600 Hart Rd
Ste 320
Barrington, IL 60010
Phone (847) 852-2000

158 E Lake St
Ste B
Bloomingdale, IL 60108
Phone (708) 390-3622

729 N York St
Elmhurst, IL 60126
Phone (630) 626-8503

19070 Everett Blvd
Unit 204
Mokena, IL 60448
Phone 70839033622073

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": "1664755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664755200000",
    "number": "1225752272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 VERA LN",
            "city": "WHEELING",
            "state": "IL",
            "postal_code": "600904500",
            "telephone_number": "847-924-4038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "158 E LAKE ST",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601081166",
            "telephone_number": "708-627-9945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANNA",
        "first_name": "DIANNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-03",
        "last_updated": "2022-10-03",
        "certification_date": "2022-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070.026941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomingdale, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 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.