Active NPI
Tricia L Hannam, P.T.
- Physical Therapist
- Marion, OH
National Provider Identifier
1699892109
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT007063
- Practice address
- 990 S Prospect St
Marion, OH 43302-6283 - Phone
- (740) 387-2900
- Fax
- (740) 387-2922
- NPI assigned
- Mar 22, 2007
- 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 | PT007063 | OH | Primary |
Addresses
Primary practice location
990 S Prospect St
Marion, OH 43302-6283
Mailing address
13249 Township Highway 127
Upper Sandusky, OH 43351-9723
Phone (419) 294-5298
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 |
|---|---|---|---|
| PT007063 | OH | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| River Rock Rehabilitation, LLC | Physical Therapist | Past | Accepting new patients |
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.
-
- Physical Therapist
- Marion, OH
- NPI 1689894461
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1699892109",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13249 TOWNSHIP HIGHWAY 127",
"city": "UPPER SANDUSKY",
"state": "OH",
"postal_code": "433519723",
"telephone_number": "419-294-5298"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "990 S PROSPECT ST",
"city": "MARION",
"state": "OH",
"postal_code": "433026283",
"telephone_number": "740-387-2900",
"fax_number": "740-387-2922"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANNAM",
"first_name": "TRICIA",
"middle_name": "L",
"name_prefix": "Mrs.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "PT007063",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Marion, OH
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.