Individual provider Active NPI

Colleen Hannon, OTR

  • Occupational Therapist
  • Williamsville, NY
National Provider Identifier
1245845528
Registry record updated Jun 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
025086 Issued in NY
Practice address
5144 Sheridan Dr Ste 2
Williamsville, NY 14221-4653
Phone
(716) 631-5224
Fax
(716) 631-5626
NPI assigned
Sep 13, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 27, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hand Occupational Therapist 225XH1200X
Occupational Therapist 225X00000X 025086 NY Primary

Addresses

Primary practice location

5144 Sheridan Dr Ste 2
Williamsville, NY 14221-4653

Mailing address

5144 Sheridan Dr Ste 2
Williamsville, NY 14221-4653
Phone (716) 631-5224

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201202000776 NY Practitioner - Occupational Therapist in Private Practice 1951712652 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hand and Rehabilitation Specialists OT PT SLP PLLCGroup PAC ID 0143475368, 3 clinicians

Practice addresses (Care Compare)

5144 Sheridan Dr
Suite 2
Williamsville, NY 14221-4653
Phone (716) 631-5224

Merit-based Incentive Payment System (MIPS)

Final score
89.01 of 100Reported as group
Quality
78.02
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
89.79 of 100Reported as group
Quality
89.94
Promoting interoperability
88
Improvement activities
40
Cost
82.5

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
025086NYMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hand & Rehabilitation Specialists OT PT SLP PLLC Occupational Therapist CurrentSince Jun 24, 2024 Accepting new patients

Locations

5144 Sheridan Dr
Ste 2
Williamsville, NY 14221
Phone (716) 631-5224

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": "1599955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719446400000",
    "number": "1245845528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5144 SHERIDAN DR STE 2",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142214653",
            "telephone_number": "716-631-5224",
            "fax_number": "716-631-5626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5144 SHERIDAN DR STE 2",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142214653",
            "telephone_number": "716-631-5224",
            "fax_number": "716-631-5626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANNON",
        "first_name": "COLLEEN",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-13",
        "last_updated": "2024-06-27",
        "certification_date": "2024-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "025086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 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.