Active NPI
Craig Philip Hancock, NMT, PT
- Specialist
- Sarasota, FL
National Provider Identifier
1649488628
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- MA0026260
- 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
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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| MA0026260 | FL | MD | Specialist |
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.