Individual provider Active NPI

Hannah Mae Sutherland, PT, DPT

  • Neurology Physical Therapist
  • Katy, TX
National Provider Identifier
1821743576
Registry record updated Feb 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology Physical TherapistTaxonomy code 2251N0400X
License
1358321 Issued in TX
Practice address
24514 Kingsland Blvd
Katy, TX 77494-3429
Phone
(832) 471-6248
NPI assigned
Feb 21, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physical Therapist 2251N0400X 1358321 TX Primary

Addresses

Primary practice location

24514 Kingsland Blvd
Katy, TX 77494-3429

Mailing address

212 Falcon Lake Cir
Friendswood, TX 77546-5459
Phone (281) 648-0677

Other practice location 1

7401 Old Bee Caves Rd
Austin, TX 78735-8234
Phone (512) 387-4096

Other identifiers 1

IdentifierTypeStateIssuer
1358321MedicaidTX

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL IntakeQ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1358321TXMDNeurology Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Houston Area Pediatric Neurology PLLC PastSince Feb 27, 2022 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1645401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645401600000",
    "number": "1821743576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 FALCON LAKE CIR",
            "city": "FRIENDSWOOD",
            "state": "TX",
            "postal_code": "775465459",
            "telephone_number": "281-648-0677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24514 KINGSLAND BLVD",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774943429",
            "telephone_number": "832-471-6248"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7401 Old Bee Caves Rd",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787358234",
            "country_code": "US",
            "telephone_number": "512-387-4096",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUTHERLAND",
        "first_name": "HANNAH",
        "middle_name": "MAE",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-21",
        "last_updated": "2022-02-21",
        "certification_date": "2022-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251N0400X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Neurology",
            "state": "TX",
            "license": "1358321",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1358321",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "IntakeQ",
            "affiliation": "N",
            "address_1": "24514 Kingsland Blvd",
            "city": "Katy",
            "state": "TX",
            "country_code": "US",
            "postal_code": "774943429",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2022; 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.