Hannah Carmen, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

LPT-013031 Issued in AZ

Practice address

12400 High Bluff Dr
San Diego, CA 92130-3077

Phone

(858) 792-0711

NPI assigned

Apr 7, 2021

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1617753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617753600000",
    "number": "1508445446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4896 S BRIGHT ANGEL TRL",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860058369",
            "telephone_number": "928-899-5837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12400 HIGH BLUFF DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921303077",
            "telephone_number": "858-792-0711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARMEN",
        "first_name": "HANNAH",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-07",
        "last_updated": "2021-04-07",
        "certification_date": "2021-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AK",
            "license": "160063",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "LPT-013031",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARIZONA STATE BOARD OF PHYSICAL THERAPY",
            "identifier": "LPT-013031",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE PHYSICAL AND OCCUPATIONAL THERAPY BOARD",
            "identifier": "160063",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carmel Valley Pediatrics
• Carmel Valley Surgical Center
• Carmel Valley Surgical Center LLC
• Carmel Valley Women'S Health Inc.
• Mary F Carmella, D.C.
• Anna Marie Carmichael, IMF
• Claire Marie Carmichael, MD
• Natalya Carmichael
• Nina Carmichael, BCBA
• Phoebe Carmichael

• Physical Therapist in San Diego, CA
• Providers in San Diego, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2021; 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.