Individual provider Active NPI

Craig Philip Hancock, NMT, PT

  • Specialist
  • Sarasota, FL
National Provider Identifier
1649488628
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MA0026260 Issued in FL
Practice address
1490 Boulevard of the Arts
Sarasota, FL 34236-2905
Phone
(941) 266-0853
Fax
(941) 794-2931
NPI assigned
May 21, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MA0026260 FL Primary

Addresses

Primary practice location

1490 Boulevard of the Arts
Sarasota, FL 34236-2905

Mailing address

5319 13TH Avenue Dr W
Bradenton, FL 34209-4237
Phone (941) 266-0853

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

LicenseStateTypeSpecialty
MA0026260FLMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1649488628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5319 13TH AVENUE DR W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342094237",
            "telephone_number": "941-266-0853",
            "fax_number": "941-794-2931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1490 BOULEVARD OF THE ARTS",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342362905",
            "telephone_number": "941-266-0853",
            "fax_number": "941-794-2931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANCOCK",
        "first_name": "CRAIG",
        "middle_name": "PHILIP",
        "name_prefix": "Mr.",
        "credential": "NMT, PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "MA0026260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

  • 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.