Active NPI
Casey Dean Hanyzewski, D.P.T.
- Physical Therapist
- Tempe, AZ
National Provider Identifier
1295004950
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 9601
- Practice address
- 1805 N. Scottsdale Rd
Ste 2
Tempe, AZ 85281 - Phone
- (480) 941-4169
- Fax
- (480) 941-4972
- NPI assigned
- Dec 23, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 9601 | AZ | Primary |
Addresses
Primary practice location
1805 N. Scottsdale Rd
Ste 2
Tempe, AZ 85281
Mailing address
1076 W. Chandler Blvd
Ste 103
Chandler, AZ 85224
Phone (480) 821-1997
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9601 | AZ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthopedic & Sport Rehab Specialists at Anthem, LLC | Physical Therapist | Past | 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.
-
- Physical Therapist
- Anthem, AZ
- NPI 1821109356
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1324598400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1330992000000",
"number": "1295004950",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1076 W. CHANDLER BLVD",
"address_2": "STE 103",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "85224",
"telephone_number": "480-821-1997",
"fax_number": "480-821-1887"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1805 N. SCOTTSDALE RD",
"address_2": "STE 2",
"city": "TEMPE",
"state": "AZ",
"postal_code": "85281",
"telephone_number": "480-941-4169",
"fax_number": "480-941-4972"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANYZEWSKI",
"first_name": "CASEY",
"middle_name": "DEAN",
"credential": "D.P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-12-23",
"last_updated": "2012-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "9601",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tempe, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.