Hannah Sutter-Balke, PT, DPT, ATC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2017016974 Issued in MO

Practice address

909 Purdue Ave
University City, MO 63130-3012

Phone

(715) 304-8643

NPI assigned

Jun 5, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• New Heights Physical Therapy LLC

  • Physical Therapist
  • Hartland, WI
  • NPI 1508613142
  NPD

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

{
    "created_epoch": "1496620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552867200000",
    "number": "1417486382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 PURDUE AVE",
            "city": "UNIVERSITY CITY",
            "state": "MO",
            "postal_code": "631303012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 PURDUE AVE",
            "city": "UNIVERSITY CITY",
            "state": "MO",
            "postal_code": "631303012",
            "telephone_number": "715-304-8643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUTTER-BALKE",
        "first_name": "HANNAH",
        "credential": "PT, DPT, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-05",
        "last_updated": "2019-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "13754-24",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2017016974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ciloue Cheng Stewart, PH.D., LCMFT
• Storge LLC
• Samantha L Strimpel, MS RD LD
• Sunflower Haven LLC
• Sunshine Manor, LLC
• The Balanced Path Therapy LLC
• Brandon Thomas, MA, PLPC
• Dario N. Tomas, PHARM. D.
• Bonita Torbert, PHARM.D.
• Lisa Tritto, MD

• Physical Therapist in University City, MO
• Providers in University City, MO by specialty
• Physical Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2019; 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.