Active NPI
Hannah Mae Sutherland, PT, DPT
- Neurology Physical Therapist
- Katy, TX
National Provider Identifier
1821743576
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physical Therapist
- License
- 1358321
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1358321 | Medicaid | TX |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 1358321 | TX | MD | Neurology Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Houston Area Pediatric Neurology PLLC | Past | 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.
-
- Neurology with Special Qualifications in Child Neurology Physician
- Sugar Land, TX
- NPI 1093056608
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.