Brandon Anthony Hancz, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

13749A Issued in AZ

Practice address

301 S 7TH St
Williams, AZ 86046-2324

Phone

(928) 635-4441

NPI assigned

Mar 9, 2020

Last updated

Mar 9, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1583712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583712000000",
    "number": "1275168429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3465 E BETSY LN",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852967333",
            "telephone_number": "310-435-1601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 S 7TH ST",
            "city": "WILLIAMS",
            "state": "AZ",
            "postal_code": "860462324",
            "telephone_number": "928-635-4441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANCZ",
        "first_name": "BRANDON",
        "middle_name": "ANTHONY",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-09",
        "last_updated": "2020-03-09",
        "certification_date": "2020-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "AZ",
            "license": "13749A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Laptop",
            "affiliation": "N",
            "endpointDescription": "Physical Therapy Clinic",
            "address_1": "301 S 7th St",
            "city": "Williams",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "860462324",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Elizabeth Dawn Haws, FNP-C
• Mary Denise Heiss, MED
• High Country Fire Rescue

• Physical Therapy Assistant in Williams, AZ
• Providers in Williams, AZ by specialty
• Physical Therapy Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2020; 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.