Mina S Hanna, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

293949 Issued in CA

Practice address

11276 5TH St Ste 400
Rancho Cucamonga, CA 91730-0923

Phone

(909) 481-0437

NPI assigned

Nov 7, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• A List Therapy Group

  • Home Health Agency
  • Los Angeles, CA
  • NPI 1588248439
  NPD Authorized official
• Rancho Physical Therapy, Inc.

  • Physical Therapist
  • Corona, CA
  • NPI 1891763561
  NPD (past)

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

{
    "created_epoch": "1510012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638489600000",
    "number": "1619480126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24630 WASHINGTON AVE STE 200",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925626177",
            "telephone_number": "951-696-9353",
            "fax_number": "951-973-7216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11276 5TH ST STE 400",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917300923",
            "telephone_number": "909-481-0437"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "886 Magnolia Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Corona",
            "state": "CA",
            "postal_code": "928793105",
            "country_code": "US",
            "telephone_number": "951-340-3402",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "23100 Eucalyptus Ave",
            "address_purpose": "LOCATION",
            "city": "Moreno Valley",
            "state": "CA",
            "postal_code": "925535439",
            "country_code": "US",
            "telephone_number": "951-485-4594",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6850 Brockton Ave Ste 212",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "CA",
            "postal_code": "925063815",
            "country_code": "US",
            "telephone_number": "951-534-0600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10020 Indiana Ave Ste 4",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "CA",
            "postal_code": "925035479",
            "country_code": "US",
            "telephone_number": "951-637-2320",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12402 Industrial Blvd Ste B2",
            "address_purpose": "LOCATION",
            "city": "Victorville",
            "state": "CA",
            "postal_code": "923955889",
            "country_code": "US",
            "telephone_number": "760-955-6061",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1695 S San Jacinto Ave Ste C",
            "address_purpose": "LOCATION",
            "city": "San Jacinto",
            "state": "CA",
            "postal_code": "925835103",
            "country_code": "US",
            "telephone_number": "951-665-1510",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "126 Avocado Ave Ste 107",
            "address_purpose": "LOCATION",
            "city": "Perris",
            "state": "CA",
            "postal_code": "925712605",
            "country_code": "US",
            "telephone_number": "951-943-8105",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "30141 Antelope Rd Ste 120",
            "address_purpose": "LOCATION",
            "city": "Menifee",
            "state": "CA",
            "postal_code": "925847001",
            "country_code": "US",
            "telephone_number": "951-723-1866",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "73345 Highway 111 Ste 103",
            "address_purpose": "LOCATION",
            "city": "Palm Desert",
            "state": "CA",
            "postal_code": "922603909",
            "country_code": "US",
            "telephone_number": "760-674-0675",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HANNA",
        "first_name": "MINA",
        "middle_name": "S",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-11-07",
        "last_updated": "2021-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "293949",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "Southern California Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "6041 Cadillac Ave",
            "city": "Los Angeles",
            "state": "CA",
            "country_code": "US",
            "postal_code": "900341702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Crystal Hanano, DMD
• Briana Joann Hancsarik
• Hands of Grace Doula Services LLC
• Bishoy Ramzy Hanna
• Mina Hanna
• Miray Hanna
• Sossana Hanna
• Monique Hannah
• Nicole Hannah
• Stephanie Michelle Steese Hannant, LCSW

• Physical Therapist in Rancho Cucamonga, CA
• Providers in Rancho Cucamonga, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 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.