Benjamin R Hannan, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

05012318A Issued in IN

Practice address

35 Bills Blvd
Martinsville, IN 46151-3354

Phone

(765) 349-9678

Fax

(765) 349-9719

NPI assigned

Nov 14, 2016

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

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Select Physical Therapy Holdings, Inc.

  • Physical Therapy Clinic/Center
  • Monticello, IN
  • NPI 1356971295
  Medicare reassignment NPD
• Select Physical Therapy Holdings, Inc.

  • Rehabilitation Clinic/Center
  • Logansport, IN
  • NPI 1245860196
  NPD
• Select Physical Therapy Holdings Inc

  • Physical Therapy Clinic/Center
  • Ashland, VA
  • NPI 1174591218
  NPD

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

{
    "created_epoch": "1479081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479081600000",
    "number": "1659813293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 643407",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152643407",
            "telephone_number": "800-721-8202",
            "fax_number": "800-721-8205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 BILLS BLVD",
            "city": "MARTINSVILLE",
            "state": "IN",
            "postal_code": "461513354",
            "telephone_number": "765-349-9678",
            "fax_number": "765-349-9719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANNAN",
        "first_name": "BENJAMIN",
        "middle_name": "R",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-11-14",
        "last_updated": "2016-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05012318A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diane Gray
• Mary Claire Greco, APRN
• Heather Greenlee, PMHNP-C
• Cathy Gregory, LMHC
• Nathaniel H Hall, D.D.S.
• Stephen L Hardin, M.D.
• Thomas Harmes, PMHNP-BC
• Hannah J Hartley, DPT
• Bradley Hatcher, BCBA
• Megan L Hayden, PEER SUPPORT

• Physical Therapist in Martinsville, IN
• Providers in Martinsville, IN by specialty
• Physical Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.