Jake Han

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

A5484 Issued in MD

Practice address

8600 Snowden River Pkwy Ste 101
Columbia, MD 21045-1983

Phone

(410) 720-5555

NPI assigned

Jun 3, 2022

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

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": "1654214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710720000000",
    "number": "1750020913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2623 MIDWAY BRANCH DR APT 202",
            "city": "ODENTON",
            "state": "MD",
            "postal_code": "211134131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8600 SNOWDEN RIVER PKWY STE 101",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210451983",
            "telephone_number": "410-720-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAN",
        "first_name": "JAKE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-06-03",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MD",
            "license": "A5484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tonoah Pepatanna Hampton, RN
• Valeri Hampton, LCPC, LCADC
• Valerie M Hampton
• Stacey Lee Hamro, LCWC-C
• Grace Soojung Han, DPT
• Rashmi Hande, M.D.
• Jennifer Lee Handrahan, CRNP
• Hands on Therapy, LLC
• Alison Haney
• Jordyn N Haney

• Physical Therapy Assistant in Columbia, MD
• Providers in Columbia, MD by specialty
• Physical Therapy Assistant in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2024; 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.