Hanna A Halloran, PT
Individual provider Active NPI Physical Therapist · Northville, NY
NPI 1467486332 · NPPES record last updated Jul 22, 2022
Key facts
- NPI
- 1467486332
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 0268941 (NY)
- Practice address
- 174 South Main Street
Northville, NY 12134 - Phone
- (518) 848-6505
- NPI assigned
- Jul 10, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0268941 | NY | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 026894 | NY | |
| Physical Therapist | 225100000X | 0268941 | NY | Yes |
Addresses
Primary practice location
174 South Main Street
Northville, NY 12134
Mailing address
468 County Highway 113
Northville, NY 12134-3749
Phone (518) 848-6505
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000412318002 | Other | BS NENY | |
| 6010869 | Other | MVP |
Other providers in Northville, NY
- Samuel Dean Detweiler
- Madeline Downing
- Ashley Dumblewski
- Annette Elise Fordyce
- Erin Elizabeth Gurdineer
- Karen Bernice McComb
- Kristen McComb
- Thomas J Milko
- Frederick R Myers
- Victor Nikolsky
All providers in Northville, NY · Physical Therapist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 22, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.