Mary R Hannaman, M.D.

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

G7318 Issued in TX

Practice address

5012 Trinity Landing Dr W
Fort Worth, TX 76132-3736

Phone

(817) 269-6872

Fax

(817) 393-1798

NPI assigned

Mar 28, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566518400000",
    "number": "1255450797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16533",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761620533",
            "telephone_number": "817-269-6872",
            "fax_number": "817-393-1798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5012 TRINITY LANDING DR W",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761323736",
            "telephone_number": "817-269-6872",
            "fax_number": "817-393-1798"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7100 Trail Lake Dr",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761231969",
            "country_code": "US",
            "telephone_number": "817-269-6872",
            "fax_number": "817-393-1798",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5012 Trinity Landing Dr W",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761323736",
            "country_code": "US",
            "telephone_number": "817-269-6872",
            "fax_number": "817-393-1798",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HANNAMAN",
        "first_name": "MARY",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-28",
        "last_updated": "2019-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "TX",
            "license": "G7318",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TX",
            "license": "G7318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eliana Rose Hankin
• Dillan Hanks, PT
• Cindy Hanna
• William R Hanna, D.D.S.
• Rae Leen Hannah-Lyon, AGACNP-BC
• Hannington Massage, LLC
• Craig Hannon, MD
• Harveen Dhillon Hans, DDS
• Danielle Elizabeth Hansell, PA-C
• Allison Barbara Hansen, M.D.

• Physical Medicine & Rehabilitation Physician in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Physical Medicine & Rehabilitation Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.