Individual provider Active NPI

Hannah Lynn Goerke

  • Physical Therapist
  • Redlands, CA
National Provider Identifier
1669344032
Registry record updated Apr 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
308839 Issued in CA
Practice address
2079 Orange Tree LN
Redlands, CA 92374-2849
Phone
(909) 353-7053
NPI assigned
Sep 23, 2025
Last updated
Apr 27, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 308839 CA Primary

Addresses

Primary practice location

2079 Orange Tree LN
Redlands, CA 92374-2849

Mailing address

12168 Mount Vernon Ave Unit 39
Grand Terrace, CA 92313-5542
Phone (574) 276-8352

Other names 1

  • Mrs. Hannah Lynn Faehner Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251028004301 CA Practitioner - Physical Therapist in Private Practice 8820587025 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Citrus Valley Physical Therapy IncGroup PAC ID 8820466105, 5 clinicians

Practice addresses (Care Compare)

2079 Orange Tree LN
Redlands, CA 92374-2849
Phone (909) 435-5729

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
308839CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Newbody Inc CurrentSince Sep 8, 2025 Accepting new patients
Citrus Valley Physical Therapy Inc Physical Therapist CurrentSince Sep 8, 2025 Accepting new patients

Locations

2079 Orange Tree Ln
Redlands, CA 92374
Phone (909) 353-7053

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1758585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777248000000",
    "number": "1669344032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12168 MOUNT VERNON AVE UNIT 39",
            "city": "GRAND TERRACE",
            "state": "CA",
            "postal_code": "923135542",
            "telephone_number": "574-276-8352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2079 ORANGE TREE LN",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923742849",
            "telephone_number": "909-353-7053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOERKE",
        "first_name": "HANNAH",
        "middle_name": "LYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-23",
        "last_updated": "2026-04-27",
        "certification_date": "2026-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "308839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HANNAH",
            "last_name": "FAEHNER",
            "middle_name": "LYNN",
            "prefix": "MRS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Redlands, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.