Elaine M. Hanifan, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT00007289 Issued in WA

Practice address

730 NW Gilman Blvd
Suite C 108
Issaquah, WA 98027-5326

Phone

(425) 391-6794

Fax

(425) 391-1525

NPI assigned

Apr 26, 2007

Last updated

Jul 8, 2007By 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Balance Physical Therapy Inc, P.S.

  • Physical Therapist
  • Issaquah, WA
  • NPI 1710197090
  NPD (past)

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1639399033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 NW GILMAN BLVD",
            "address_2": "SUITE C 108",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980275326",
            "telephone_number": "425-391-6794",
            "fax_number": "425-391-1525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 NW GILMAN BLVD",
            "address_2": "SUITE C 108",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980275326",
            "telephone_number": "425-391-6794",
            "fax_number": "425-391-1525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANIFAN",
        "first_name": "ELAINE",
        "middle_name": "M.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00007289",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & INDUSTRIES",
            "identifier": "0160455",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mendy Rene Hamilton, PHARMACY TECHNICIAN
• Rachel Hammack
• Sharon Hammond, CNM
• Anna Hancock, PA-C
• Caitlin E Hancock, LMP
• Bradley Hanna, PHARM.D.
• Theresa Hanna, RPH
• Harkaran Singh Hans, DDS
• Amy Lynn Hansen
• Carol Anne Hansen, M.S. CCC-SLP

• Physical Therapist in Issaquah, WA
• Providers in Issaquah, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.