Active NPI
Pauline Hannan, DPT
- Physical Medicine & Rehabilitation Physician
- Pleasant Grove, UT
National Provider Identifier
1669732483
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 10152248-2401
- Practice address
- 856 S Main St Unit B
Pleasant Grove, UT 84062-3528 - Phone
- (509) 430-4616
- NPI assigned
- May 26, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT-2702 | ID | |
| Physical Medicine & Rehabilitation Physician | 208100000X | 10152248-2401 | UT | Primary |
Addresses
Primary practice location
856 S Main St Unit B
Pleasant Grove, UT 84062-3528
Mailing address
856 S Main St Unit B
Pleasant Grove, UT 84062-3528
Phone (509) 430-4616
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beyond the V Physical Therapy | Multi-Specialty | Current | Accepting new patients |
Locations
856 S Main St
Unit B
Pleasant Grove, UT 84062
Phone (509) 430-4616
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1337990400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756425600000",
"number": "1669732483",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "856 S MAIN ST UNIT B",
"city": "PLEASANT GROVE",
"state": "UT",
"postal_code": "840623528",
"telephone_number": "509-430-4616"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "856 S MAIN ST UNIT B",
"city": "PLEASANT GROVE",
"state": "UT",
"postal_code": "840623528",
"telephone_number": "509-430-4616"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANNAN",
"first_name": "PAULINE",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-05-26",
"last_updated": "2025-08-29",
"certification_date": "2025-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "ID",
"license": "PT-2702",
"primary": false
},
{
"code": "208100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": "UT",
"license": "10152248-2401",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pleasant Grove, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.