Individual provider Active NPI

Hannah M. Depaul, PT

  • Orthopedic Physical Therapist
  • Novi, MI
National Provider Identifier
1255765418
Registry record updated Dec 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
5501017182 Issued in MI
Practice address
46001 Grand River Ave
Suite a
Novi, MI 48374-1319
Phone
(248) 513-3003
Fax
(248) 513-3004
NPI assigned
Aug 23, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 5501017182 MI Primary

Addresses

Primary practice location

46001 Grand River Ave
Suite a
Novi, MI 48374-1319

Mailing address

46001 Grand River Ave
Suite a
Novi, MI 48374-1319
Phone (248) 513-3003

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Activcare Physical Therapy, LLC PastSince Jul 6, 2015 Accepting new patients

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": "1377216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1448928000000",
    "number": "1255765418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46001 GRAND RIVER AVE",
            "address_2": "SUITE A",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483741319",
            "telephone_number": "248-513-3003",
            "fax_number": "248-513-3004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46001 GRAND RIVER AVE",
            "address_2": "SUITE A",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483741319",
            "telephone_number": "248-513-3003",
            "fax_number": "248-513-3004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEPAUL",
        "first_name": "HANNAH",
        "middle_name": "M.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-23",
        "last_updated": "2015-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "MI",
            "license": "5501017182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Novi, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.