Individual provider Active NPI

Hunter Hanks, DPT

  • Physical Therapist
  • Providence, UT
National Provider Identifier
1255162749
Registry record updated Aug 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
13972005-2401 Issued in UT
Practice address
169 N Gateway Dr Ste 160
Providence, UT 84332-9882
Phone
(435) 799-3111
NPI assigned
Aug 8, 2024
Last updated
Aug 8, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 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 13972005-2401 UT Primary

Addresses

Primary practice location

169 N Gateway Dr Ste 160
Providence, UT 84332-9882

Mailing address

358 N Gateway Dr Unit 423
Providence, UT 84332-9852
Phone (801) 866-3705

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241004002752 UT Practitioner - Physical Therapist in Private Practice 9638600315 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gateway Physical Therapy and Sports RehabGroup PAC ID 1557796232, 5 clinicians

Practice addresses (Care Compare)

169 N Gateway Dr
Suite 160
Providence, UT 84332-9882
Phone (435) 799-3111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13972005-2401UTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Gateway Physical Therapy and Sports Rehab Physical Therapist CurrentSince Aug 23, 2024 Accepting new patients

Locations

169 N Gateway Dr
Ste 160
Providence, UT 84332
Phone (435) 770-8865

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1723075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723075200000",
    "number": "1255162749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "358 N GATEWAY DR UNIT 423",
            "city": "PROVIDENCE",
            "state": "UT",
            "postal_code": "843329852",
            "telephone_number": "801-866-3705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "169 N GATEWAY DR STE 160",
            "city": "PROVIDENCE",
            "state": "UT",
            "postal_code": "843329882",
            "telephone_number": "435-799-3111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANKS",
        "first_name": "HUNTER",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-08-08",
        "last_updated": "2024-08-08",
        "certification_date": "2024-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "UT",
            "license": "13972005-2401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Providence, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 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.