Individual provider Active NPI

Michael Anthony Hahndorf, DPT

  • Physical Therapist
  • Belvidere, IL
National Provider Identifier
1578477113
Registry record updated Sep 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070.027938 Issued in IL
Practice address
1916 Gateway Center Dr
Belvidere, IL 61008-9303
Phone
(815) 547-9580
Fax
(815) 547-9930
NPI assigned
Sep 30, 2026
Last updated
Sep 30, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2026

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 070.027938 IL Primary

Addresses

Primary practice location

1916 Gateway Center Dr
Belvidere, IL 61008-9303

Mailing address

650 Cassia CT
Crystal Lake, IL 60012-2313
Phone (815) 321-3147

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1790726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790726400000",
    "number": "1578477113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 CASSIA CT",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600122313",
            "telephone_number": "815-321-3147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1916 GATEWAY CENTER DR",
            "city": "BELVIDERE",
            "state": "IL",
            "postal_code": "610089303",
            "telephone_number": "815-547-9580",
            "fax_number": "815-547-9930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAHNDORF",
        "first_name": "MICHAEL",
        "middle_name": "ANTHONY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-09-30",
        "last_updated": "2026-09-30",
        "certification_date": "2026-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070.027938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belvidere, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.