Active NPI
Hannah Simone, DPT
- Physical Therapist
- Penn Yan, NY
National Provider Identifier
1699486712
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 049640
- Practice address
- 207 1/2 Lake St
Penn Yan, NY 14527-1802 - Phone
- (315) 536-4051
- NPI assigned
- Dec 9, 2022
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 049640 | NY | Primary |
Addresses
Primary practice location
207 1/2 Lake St
Penn Yan, NY 14527-1802
Mailing address
207 1/2 Lake St
Penn Yan, NY 14527-1802
Phone (315) 536-4051
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230103001239 | NY | Practitioner - Physical Therapist in Private Practice | 8325418643 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 049640 | NY | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1670544000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670544000000",
"number": "1699486712",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "207 1/2 LAKE ST",
"city": "PENN YAN",
"state": "NY",
"postal_code": "145271802",
"telephone_number": "315-536-4051"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "207 1/2 LAKE ST",
"city": "PENN YAN",
"state": "NY",
"postal_code": "145271802",
"telephone_number": "315-536-4051"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMONE",
"first_name": "HANNAH",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-12-09",
"last_updated": "2022-12-09",
"certification_date": "2022-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "049640",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Penn Yan, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2022; 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.