Individual provider Active NPI

Hannah Alexis Brunson, DPT,PT

  • Physical Therapist
  • Kealakekua, HI
National Provider Identifier
1508598285
Registry record updated Jul 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT-5409 Issued in HI
Practice address
79-7422 Mamalahoa Hwy
Kealakekua, HI 96750-7913
Phone
(808) 322-8400
Fax
(808) 322-5167
NPI assigned
Jun 30, 2022
Last updated
Jul 7, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 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 PT-5409 HI Primary

Addresses

Primary practice location

79-7422 Mamalahoa Hwy
Kealakekua, HI 96750-7913

Mailing address

1469 Garland St
Detroit, MI 48214-3124

Other practice location 1

79-7422 Hawai'i belt rd
Kealakekua, HI 96750
Phone (808) 322-8400

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260121003370 NY Practitioner - Physical Therapist in Private Practice 0941681308 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Park North Physical Therapy, PLLCGroup PAC ID 9335238781, 8 clinicians

Practice addresses (Care Compare)

2804 Broadway
New York, NY 10025-2236
Phone (212) 222-6525

500 Mamaroneck Ave
Harrison, NY 10528-1633
Phone (203) 869-1145

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopaedic & Neurosurgery Specialists, PLLC Physical Therapist CurrentSince Jan 5, 2026 Accepting new patients
Orthopaedic & Neurosurgery Specialists, PLLC CurrentSince Jan 5, 2026 Accepting new patients

Locations

500 Mamaroneck Ave
Harrison, NY 10528
Phone (203) 869-1145

Organizations & group practices 3

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": "1656547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657152000000",
    "number": "1508598285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1469 GARLAND ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482143124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79-7422 MAMALAHOA HWY",
            "city": "KEALAKEKUA",
            "state": "HI",
            "postal_code": "967507913",
            "telephone_number": "808-322-8400",
            "fax_number": "808-322-5167"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "79-7422 Hawai'i belt rd",
            "address_purpose": "LOCATION",
            "city": "Kealakekua",
            "state": "HI",
            "postal_code": "96750",
            "country_code": "US",
            "telephone_number": "808-322-8400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRUNSON",
        "first_name": "HANNAH",
        "middle_name": "ALEXIS",
        "credential": "DPT,PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-30",
        "last_updated": "2022-07-07",
        "certification_date": "2022-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "HI",
            "license": "PT-5409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kealakekua, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.