Individual provider Active NPI

Hannah Randazzo

  • Physical Therapist
  • Macomb, MI
National Provider Identifier
1841009362
Registry record updated Dec 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501303542 Issued in MI
Practice address
21972 23 Mile Rd
Macomb, MI 48042-4423
Phone
(586) 846-3185
NPI assigned
Dec 31, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 5501303542 MI Primary

Addresses

Primary practice location

21972 23 Mile Rd
Macomb, MI 48042-4423

Mailing address

21972 23 Mile Rd
Macomb, MI 48042-4423
Phone (586) 846-3185

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250103002853 MI Practitioner - Physical Therapist in Private Practice 1658809694 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neil King Physical Therapy, PCGroup PAC ID 4385722917, 32 clinicians

Practice addresses (Care Compare)

21972 23 Mile Rd
Macomb, MI 48042-4423
Phone (586) 846-3185

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5501303542MIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Neil King Physical Therapy, PC Physical Therapist CurrentSince Jan 2, 2025 Accepting new patients

Locations

21972 23 Mile Rd
Macomb, MI 48042
Phone (586) 212-8812

141 Hampton Cir
Rochester Hills, MI 48307
Phone (248) 583-7555

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": "1735603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735603200000",
    "number": "1841009362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21972 23 MILE RD",
            "city": "MACOMB",
            "state": "MI",
            "postal_code": "480424423",
            "telephone_number": "586-846-3185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21972 23 MILE RD",
            "city": "MACOMB",
            "state": "MI",
            "postal_code": "480424423",
            "telephone_number": "586-846-3185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANDAZZO",
        "first_name": "HANNAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-31",
        "last_updated": "2024-12-31",
        "certification_date": "2024-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501303542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macomb, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2024; 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.

Verify at the official NPI Registry.