Active NPI
Hannah Elise Huckabee, DPT
- Physical Therapist
- Shreveport, LA
National Provider Identifier
1629818869
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 11224
- Practice address
- 1801 Fairfield Ave Ste 103
Shreveport, LA 71101-4457 - Phone
- (318) 751-9100
- Fax
- (318) 751-9101
- NPI assigned
- May 27, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 11224 | LA | Primary |
Addresses
Primary practice location
1801 Fairfield Ave Ste 103
Shreveport, LA 71101-4457
Mailing address
5758 Gold Crest Dr
Bossier City, LA 71112-8817
Phone (318) 402-7102
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11224 | LA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1716768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716768000000",
"number": "1629818869",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5758 GOLD CREST DR",
"city": "BOSSIER CITY",
"state": "LA",
"postal_code": "711128817",
"telephone_number": "318-402-7102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1801 FAIRFIELD AVE STE 103",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711014457",
"telephone_number": "318-751-9100",
"fax_number": "318-751-9101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUCKABEE",
"first_name": "HANNAH",
"middle_name": "ELISE",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-05-27",
"last_updated": "2024-05-27",
"certification_date": "2024-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "LA",
"license": "11224",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shreveport, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.