Hanes Physical Therapy, LTD.

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

070.013338 Issued in IL

Legal business name

HANES PHYSICAL THERAPY, LTD.

Practice address

486 N Main St
Canton, IL 61520-1828

Phone

(309) 339-1808

NPI assigned

Mar 10, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Adam A. Hanes, M.P.T.NPI 1194063826

Title

Physical Therapist, Owner

Phone

(309) 339-1808

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Adam Arthur Hanes, MPT

  • Physical Therapist
  • Canton, IL
  • NPI 1194063826
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1425945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425945600000",
    "number": "1700279130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "486 N MAIN ST",
            "city": "CANTON",
            "state": "IL",
            "postal_code": "615201828",
            "telephone_number": "309-339-1808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "486 N MAIN ST",
            "city": "CANTON",
            "state": "IL",
            "postal_code": "615201828",
            "telephone_number": "309-339-1808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANES PHYSICAL THERAPY, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-10",
        "last_updated": "2015-03-10",
        "status": "A",
        "authorized_official_last_name": "HANES",
        "authorized_official_first_name": "ADAM",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST, OWNER",
        "authorized_official_telephone_number": "309-339-1808",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "IL",
            "license": "070.013338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Troy Green, CRNA
• Amber Gregory, LCSW
• Jared Matthew Grzanich, P.A.-C
• Karen Hahn, LCSW
• Barb Haley
• Adam Arthur Hanes, MPT
• Sandra Anne Haws, MS, RD, LDN
• Heartland of Canton Il LLC (Heartland Health Care Center - Canton)
• Crindy Nolee Hedges, RN, IBCLC
• Audrey Jo Hensley

• Physical Therapy Clinic/Center in Canton, IL
• Providers in Canton, IL by specialty
• Physical Therapy Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2015; 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.