Hannah Mimmack

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

CP052191T Issued in WA

Practice address

945 Hildebrand LN NE Ste 220
Bainbridge Island, WA 98110-2877

Phone

(360) 598-3764

Fax

(360) 598-3282

NPI assigned

Jan 5, 2026

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2025

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kitsap Physical Therapy and Sports Clinic PS IncGroup PAC ID 6507762333, 142 clinicians

Practice addresses (Care Compare)

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 and National Provider Directory roles.

• Kitsap Physical Therapy and Sports Clinic PS Inc

  • Physical Therapist
  • Silverdale, WA
  • NPI 1912902347
  Medicare reassignment Care Compare group NPD
• Kitsap Physical Therapy and Sports Clinic PS Inc

  • Durable Medical Equipment & Medical Supplies
  • Kingston, WA
  • NPI 1700466083

  Physical Therapist

  NPD

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

{
    "created_epoch": "1767571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767571200000",
    "number": "1538026372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10818 E MAPLEWOOD DR",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801115737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "945 HILDEBRAND LN NE STE 220",
            "city": "BAINBRIDGE ISLAND",
            "state": "WA",
            "postal_code": "981102877",
            "telephone_number": "360-598-3764",
            "fax_number": "360-598-3282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIMMACK",
        "first_name": "HANNAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-01-05",
        "last_updated": "2026-01-05",
        "certification_date": "2026-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "CP052191T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miller Speech/Language Pathology, Inc.
• Kaitlyn Elizabeth Miller, DPT
• Barbara Ann Mills, MS. LMFT
• Kathleen Ann Mills, RDH
• Brigette Milne, LMP
• Anne Moffat, LM
• Elizabeth Moga, LMHC
• Thomas Ralph Monk, MD
• Ginger Dane Moriarty, MSW
• Karen L. Morice, PA

• Physical Therapist in Bainbridge Island, WA
• Providers in Bainbridge Island, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2026; 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.