Individual provider Active NPI

Hannah Drake

  • Physical Therapist
  • Bellingham, WA
National Provider Identifier
1295502219
Registry record updated Dec 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT61480047 Issued in WA
Practice address
1825 Grant St Ste 100
Bellingham, WA 98225-4635
Phone
(360) 752-2673
NPI assigned
Dec 11, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2023

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 PT61480047 WA Primary

Addresses

Primary practice location

1825 Grant St Ste 100
Bellingham, WA 98225-4635

Mailing address

1707 Mill Ave
Bellingham, WA 98225-6731

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

LicenseStateTypeSpecialty
PT61480047WAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Core Performance LLC Physical Therapist CurrentSince Feb 2, 2024 Accepting new patients

Locations

1825 Grant St
Ste 100
Bellingham, WA 98225
Phone (360) 752-2673

1825 Grant St
Bellingham, WA 98225
Phone 3607520271203

1514 12th St
Ste 103
Bellingham, WA 98225
Phone (360) 752-2673

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": "1702252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702252800000",
    "number": "1295502219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1707 MILL AVE",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982256731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1825 GRANT ST STE 100",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982254635",
            "telephone_number": "360-752-2673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRAKE",
        "first_name": "HANNAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-11",
        "last_updated": "2023-12-11",
        "certification_date": "2023-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT61480047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellingham, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2023; 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.