Active NPI
Hannah Lee Mulder, DPT
- Physical Therapist
- Janesville, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 13623
- Practice address
- 1010 N Washington St
Janesville, WI 53548-1500 - Phone
- (608) 755-7998
- NPI assigned
- Oct 9, 2016
- 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 | 13623 | WI | Primary |
Addresses
Primary practice location
1010 N Washington St
Janesville, WI 53548-1500
Mailing address
1010 N Washington St
Janesville, WI 53548-1500
Phone (608) 755-7998
Other practice location 1
920 State St
Manitowoc, WI 54220-4038
Phone (920) 683-1900
Other names 1
- Hannah Lee Vanderweele
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2016
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
2105 E Enterprise Ave
Appleton, WI 54913-7862
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13623 | WI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Physical Therapy & Sports Medicine SC | Physical Therapist | Current | Accepting new patients |
| Advanced Physical Therapy & Sports Medicine SC | Physical Therapist | Current | Accepting new patients |
| Orthopaedic Associates of Manitowoc LTD | Past | Accepting new patients |
Locations
2105 E Enterprise Ave
Ste 113
Appleton, WI 54913
Phone (920) 560-1083
2105 E Enterprise Ave
Appleton, WI 54913
Phone (920) 560-1000
2223 Lime Kiln Rd
Green Bay, WI 54311
Phone (920) 430-4770
217 N 4th Ave
Unit 5
Sturgeon Bay, WI 54235
Phone (920) 818-0419
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Medicine & Rehabilitation Physician
- Appleton, WI
- NPI 1407857790
Physical Therapist
-
- Durable Medical Equipment & Medical Supplies
- Grand Chute, WI
- NPI 1538858857
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1475971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583193600000",
"number": "1720538291",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1010 N WASHINGTON ST",
"city": "JANESVILLE",
"state": "WI",
"postal_code": "535481500",
"telephone_number": "608-755-7998"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1010 N WASHINGTON ST",
"city": "JANESVILLE",
"state": "WI",
"postal_code": "535481500",
"telephone_number": "608-755-7998"
}
],
"practiceLocations": [
{
"address_1": "920 State St",
"address_purpose": "LOCATION",
"city": "Manitowoc",
"state": "WI",
"postal_code": "542204038",
"country_code": "US",
"telephone_number": "920-683-1900",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MULDER",
"first_name": "HANNAH",
"middle_name": "LEE",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-10-09",
"last_updated": "2020-03-03",
"certification_date": "2020-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WI",
"license": "13623",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "HANNAH",
"last_name": "VANDERWEELE",
"middle_name": "LEE",
"credential": "DPT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Janesville, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.