Kristen Hanacek, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT31889 Issued in FL

Practice address

11158 Golden Silence Dr
Riverview, FL 33579-2330

Phone

(419) 349-0159

NPI assigned

Jan 9, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

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

{
    "created_epoch": "1483920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612396800000",
    "number": "1821534256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11158 GOLDEN SILENCE DR",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335792330",
            "telephone_number": "419-349-0159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11158 GOLDEN SILENCE DR",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335792330",
            "telephone_number": "419-349-0159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANACEK",
        "first_name": "KRISTEN",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-09",
        "last_updated": "2021-02-04",
        "certification_date": "2021-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT31889",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "019710700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melissa Hall Crane, PHARM.D.
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• Javon Hall
• Susan Hamoui, DO
• Hamptons Senior Transport LLC
• Hands on Neurorehab LLC
• Kristina Hanhan
• Nadia Azara Hanmandlu, DO
• Kyle Harden, PA
• Michael Hardigree, BT

• Physical Therapist in Riverview, FL
• Providers in Riverview, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2021; 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.