Individual provider Active NPI

Hannah Martell King

  • Physical Therapist
  • Siesta Key, FL
National Provider Identifier
1508411414
Registry record updated Dec 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT34978 Issued in FL
Practice address
5147 Ocean Blvd
Siesta Key, FL 34242-1674
Phone
(941) 870-5811
NPI assigned
Aug 7, 2019
Last updated
Dec 29, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2022

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 PT34978 FL Primary

Addresses

Primary practice location

5147 Ocean Blvd
Siesta Key, FL 34242-1674

Mailing address

4161 King Richard Dr
Sarasota, FL 34232-2522
Phone (941) 773-6080

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230405002123 FL Practitioner - Physical Therapist in Private Practice 5193190148 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT34978FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Siesta Key Physical Therapy, LLC. Physical Therapist CurrentSince Feb 15, 2023 Accepting new patients

Locations

2300 Bee Ridge Rd
Ste 206
Sarasota, FL 34239
Phone (941) 870-5811

5147 Ocean Blvd
Siesta Key, FL 34242
Phone (941) 870-5811

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 1

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": "1565136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672272000000",
    "number": "1508411414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4161 KING RICHARD DR",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342322522",
            "telephone_number": "941-773-6080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5147 OCEAN BLVD",
            "city": "SIESTA KEY",
            "state": "FL",
            "postal_code": "342421674",
            "telephone_number": "941-870-5811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "HANNAH",
        "middle_name": "MARTELL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-07",
        "last_updated": "2022-12-29",
        "certification_date": "2022-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT34978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Siesta Key, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2022; 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.