Alisa Jeanette Hanneman

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT-007083 Issued in OH

Practice address

1331 E 4TH St
Ottawa, OH 45875-1505

Phone

(419) 523-9337

NPI assigned

Feb 24, 2022

Last updated

Feb 24, 2022By the provider in NPPES

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 OH

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

PT Services Rehabilitation IncGroup PAC ID 2567487887, 20 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• P.T. Services Rehabilitation, Inc.

  • Physical Therapy Clinic/Center
  • Wellington, OH
  • NPI 1972505576
  Medicare reassignment Care Compare group NPD
• Kiddos ABA Therapy, LLC

  • Behavior Analyst
  • Kalida, OH
  • NPI 1306517933
  NPD (past)
• Kiddos ABA Therapy, LLC

  • Occupational Therapist
  • Ottawa, OH
  • NPI 1548985666
  NPD (past)
• P T Services Rehabilitation Inc

  • Occupational Therapy Assistant
  • Tiffin, OH
  • NPI 1003289174
  NPD (past)

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

{
    "created_epoch": "1645660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645660800000",
    "number": "1609522903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1331 E 4TH ST",
            "city": "OTTAWA",
            "state": "OH",
            "postal_code": "458751505",
            "telephone_number": "419-523-9337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1331 E 4TH ST",
            "city": "OTTAWA",
            "state": "OH",
            "postal_code": "458751505",
            "telephone_number": "419-523-9337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANNEMAN",
        "first_name": "ALISA",
        "middle_name": "JEANETTE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-24",
        "last_updated": "2022-02-24",
        "certification_date": "2022-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OH",
            "license": "OT-007083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Leigh Fritz, PTA
• Karissa Sue Gerdeman
• Whitney Gerding, OTD, OTR/L
• Becky A Giblin
• Lindsay Kae Hammerling, MOT, OTR/L
• Christina M Hardeman, LSW
• Health Care Ventures of Ohio
• Healthcare Ventures of Ohio (Autumn Court)
• Healthcare Ventures of Ohio, LLC (Autumn Court)
• Jennifer Herber, COTA/L

• Occupational Therapist in Ottawa, OH
• Providers in Ottawa, OH by specialty
• Occupational Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 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.