Individual provider Active NPI

Hannah Marie Randazzo, PT, DPT

  • Physical Therapist
  • Sparks, NV
National Provider Identifier
1407378813
Registry record updated Jun 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
3591 Issued in NV
Practice address
1450 E Prater Way Ste 103
Sparks, NV 89434-8973
Phone
(775) 331-1199
NPI assigned
Jul 7, 2017
Last updated
Jun 30, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 30, 2020

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 3591 NV Primary

Addresses

Primary practice location

1450 E Prater Way Ste 103
Sparks, NV 89434-8973

Mailing address

9990 Double R Blvd
Ste 200
Reno, NV 89521-4833

Other names 1

  • Hannah Marie Lessen Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200811002682 NV Practitioner - Physical Therapist in Private Practice 5496171217 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
James J Lynch M D LTDGroup PAC ID 9133188626, 81 clinicians

Practice addresses (Care Compare)

9480 Double Diamond Pkwy
Suite 200
Reno, NV 89521-5842
Phone (775) 348-8800

Merit-based Incentive Payment System (MIPS)

Final score
90.71 of 100Reported as apm
Quality
81.42
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
James J Lynch MD LTD Physical Therapy CurrentSince Aug 31, 2020 Accepting new patients
James J Lynch M D LTD CurrentSince Aug 31, 2020 Accepting new patients

Locations

1470 Medical Pkwy
Ste 220
Carson City, NV 89703

1749 N Stewart St
Ste 50
Carson City, NV 89706
Phone (775) 392-3680

2874 N Carson St
Ste 105
Carson City, NV 89706
Phone (775) 283-3321

973 Mica Dr
Ste 201
Carson City, NV 89705
Phone (702) 884-5470

10381 Double R Blvd
Reno, NV 89521
Phone (775) 322-1200

10539 Professional Cir
Ste 201
Reno, NV 89521
Phone (775) 674-5632

1465 S Meadows Pkwy
Reno, NV 89521
Phone (775) 348-8885

595 Mount Rose St
Reno, NV 89509
Phone (775) 323-3660

7700 Rancharrah Pkwy
Ste 100
Reno, NV 89511

825 S Meadows Pkwy
Ste 102
Reno, NV 89521

9480 Double Diamond Pkwy
Ste 200
Reno, NV 89521
Phone (775) 348-8000

9990 Double R Blvd
Ste 200
Reno, NV 89521
Phone (605) 999-7267

780 Vista Blvd
Ste 100
Sparks, NV 89434
Phone (753) 348-8800

780 Vista Blvd
Ste 101
Sparks, NV 89434

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1499385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593475200000",
    "number": "1407378813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9990 DOUBLE R BLVD",
            "address_2": "STE 200",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895214833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 E PRATER WAY STE 103",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894348973",
            "telephone_number": "775-331-1199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANDAZZO",
        "first_name": "HANNAH",
        "middle_name": "MARIE",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-07",
        "last_updated": "2020-06-30",
        "certification_date": "2020-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NV",
            "license": "3591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HANNAH",
            "last_name": "LESSEN",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sparks, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.