Active NPI
Hana Fakhoury
- Physical Therapist
- Portola Valley, CA
National Provider Identifier
1427964154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070.040296
- Practice address
- 501 Portola Rd
Portola Valley, CA 94028-7654 - Phone
- (650) 851-1501
- NPI assigned
- Aug 21, 2026
- Sex
- Female
- 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 | 070.040296 | IL | Primary |
Addresses
Primary practice location
501 Portola Rd
Portola Valley, CA 94028-7654
Mailing address
9521 Kostner Ave
Skokie, IL 60076-1329
Phone (773) 706-2792
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1787270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787270400000",
"number": "1427964154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9521 KOSTNER AVE",
"city": "SKOKIE",
"state": "IL",
"postal_code": "600761329",
"telephone_number": "773-706-2792"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 PORTOLA RD",
"city": "PORTOLA VALLEY",
"state": "CA",
"postal_code": "940287654",
"telephone_number": "650-851-1501"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAKHOURY",
"first_name": "HANA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-08-21",
"last_updated": "2026-08-21",
"certification_date": "2026-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070.040296",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portola Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.