Peggy Lorraine Hanagan, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

006919 Issued in AZ

Practice address

1090 S Gilbert Rd Ste 106
Gilbert, AZ 85296-3439

Phone

(518) 268-9538

NPI assigned

Oct 8, 2019

Last updated

Oct 8, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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": "1570492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570492800000",
    "number": "1710528021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4865 E TEPEE ST",
            "city": "APACHE JUNCTION",
            "state": "AZ",
            "postal_code": "851198977",
            "telephone_number": "518-268-9538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1090 S GILBERT RD STE 106",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852963439",
            "telephone_number": "518-268-9538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANAGAN",
        "first_name": "PEGGY",
        "middle_name": "LORRAINE",
        "credential": "COTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-08",
        "last_updated": "2019-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "AZ",
            "license": "006919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Hammond
• Alani Hammonds
• Adrian Hampton
• Lauren Ashley Hampton, MS SLP
• Xiaolin Han
• Brya Hanan, MA
• Matthew Clifton Hanchett, DMD
• Cassie Suzette Hancock, PA-S
• Melanie Kieffer Hancock, SLPA
• Saxon Hancock, MD

• Occupational Therapy Assistant in Gilbert, AZ
• Providers in Gilbert, AZ by specialty
• Occupational Therapy Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 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.