Amelia Grace Hanning

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT6891 Issued in ME

Practice address

12 Stillwater Ave
Bangor, ME 04401-3984

Phone

(207) 945-2946

NPI assigned

Aug 2, 2024

Last updated

Aug 7, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mia Hanning Other name

Medicare fee-for-service enrollment

Enrolled in ME

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Saco Bay Orthopaedic and Sports Physical Therapy, Inc

  dba Saco Bay Orthopaedic Sports & Physical Therapy

  • Physical Therapist
  • Saco, ME
  • NPI 1346254315
  Medicare reassignment NPD
• Saco Bay Orthopaedic and Sports Physical Therapy, Inc.

  dba Saco Bay Orthopaedic Sports & Physical Therapy

  • Physical Therapy Clinic/Center
  • Westbrook, ME
  • NPI 1396312807
  NPD
• Saco Bay Orthopaedic and Sports Physical Therapy, Inc.

  dba Saco Bay Orthopaedic Sports & Physical Therapy

  • Rehabilitation Clinic/Center
  • North Berwick, ME
  • NPI 1487253373
  NPD

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

{
    "created_epoch": "1722556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722988800000",
    "number": "1487484713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 TWIN OAK DR",
            "city": "GLENBURN",
            "state": "ME",
            "postal_code": "044011030",
            "telephone_number": "207-694-4813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 STILLWATER AVE",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044013984",
            "telephone_number": "207-945-2946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANNING",
        "first_name": "AMELIA",
        "middle_name": "GRACE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-02",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ME",
            "license": "PT6891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MIA",
            "last_name": "HANNING",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Libby Virginia Hanley, LCPC
• Hannah L Hanlon, LMSW-CC
• Ehab N Hanna, MD
• Hannaford Bros Co LLC (Hannaford Supermarket & Pharmacy)
• Hannaford Bros Co LLC (Hannaford Food and Drug)
• Thadius Hannington-Berube, LCPC-C
• Meghan L Hannington, LSW-C
• Andrew Hanscom, RPH
• Charles Hanscom, LCPC
• Shelli Hanscom, LCSW

• Physical Therapist in Bangor, ME
• Providers in Bangor, ME by specialty
• Physical Therapist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.