Raymond Scott Hanan, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

49888 Issued in CA

Practice address

6263 N Green Bay Ave
Milwaukee, WI 53209-3823

Phone

(414) 451-0543

NPI assigned

Apr 3, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1554249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554249600000",
    "number": "1710449210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2350 250TH ST SPC 45",
            "city": "LOMITA",
            "state": "CA",
            "postal_code": "907173815",
            "telephone_number": "310-626-3332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6263 N GREEN BAY AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532093823",
            "telephone_number": "414-451-0543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANAN",
        "first_name": "RAYMOND",
        "middle_name": "SCOTT",
        "name_prefix": "Mr.",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-04-03",
        "last_updated": "2019-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "49888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Optima",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "N/A",
            "address_1": "6263 N Green Bay Ave",
            "city": "Milwaukee",
            "state": "WI",
            "country_code": "US",
            "postal_code": "532093823",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Ronald Hamrick Jr., MD
• Hannah Hamwi, DDS
• Dennis Han, MD
• Jihun Han, DDS
• Minhee Han, DNP
• Lama Hanbali
• Seif Rashad Hanbali, DO
• Kirby Kristine Hancock, PA-C
• Ivanna Marie Hancovsky, PA-C
• Hand in Hand Solutionz LLC

• Physical Therapy Assistant in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Physical Therapy Assistant in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.