Active NPI
Hannah Van Roekel, DPT, ATC
- Physical Therapist
- Sumner, WA
National Provider Identifier
1356808588
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 16101 64TH St E
Sumner, WA 98390-3069 - Phone
- (253) 750-0453
- NPI assigned
- Feb 24, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | |||
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
16101 64TH St E
Sumner, WA 98390-3069
Mailing address
1164 Highway 22
Wellman, IA 52356-9618
Other practice location 1
1822 S 4th St
Ames, IA 50011-1142
Phone (319) 461-1983
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1550966400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674172800000",
"number": "1356808588",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1164 HIGHWAY 22",
"city": "WELLMAN",
"state": "IA",
"postal_code": "523569618"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16101 64TH ST E",
"city": "SUMNER",
"state": "WA",
"postal_code": "983903069",
"telephone_number": "253-750-0453"
}
],
"practiceLocations": [
{
"address_1": "1822 S 4th St",
"address_purpose": "LOCATION",
"city": "Ames",
"state": "IA",
"postal_code": "500111142",
"country_code": "US",
"telephone_number": "319-461-1983",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VAN ROEKEL",
"first_name": "HANNAH",
"credential": "DPT, ATC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-02-24",
"last_updated": "2023-01-20",
"certification_date": "2020-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": null,
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sumner, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 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.