Hanna Kearney, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

041789-1 Issued in NY

Practice address

20053 Summit View Blvd Ste 2
Watertown, NY 13601

Phone

(315) 681-4187

Fax

(315) 661-6068

NPI assigned

Jan 28, 2019

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

BSH, SCGroup PAC ID 4082996954, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• BSH, SC

  • Family Medicine Physician
  • Mount Pleasant, WI
  • NPI 1467811331

  WI

  Medicare reassignment Care Compare group
• Acs Wounds LLC

  • Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
  • Mt Pleasant, WI
  • NPI 1609576750

  WI

  Medicare reassignment NPD

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

{
    "created_epoch": "1548633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569974400000",
    "number": "1851855431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "364 EAST AVE",
            "city": "OSWEGO",
            "state": "NY",
            "postal_code": "131266148",
            "telephone_number": "315-326-0056",
            "fax_number": "315-326-0102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20053 SUMMIT VIEW BLVD STE 2",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "13601",
            "telephone_number": "315-681-4187",
            "fax_number": "315-661-6068"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "127 E 1st St",
            "address_purpose": "LOCATION",
            "city": "Oswego",
            "state": "NY",
            "postal_code": "131262104",
            "country_code": "US",
            "telephone_number": "315-379-0992",
            "fax_number": "315-379-0993",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEARNEY",
        "first_name": "HANNA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-28",
        "last_updated": "2019-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "041789-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5609201",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "warnerpt@protonmail.com",
            "affiliation": "N",
            "address_1": "20053 Summit View Blvd Ste 2",
            "city": "Watertown",
            "state": "NY",
            "country_code": "US",
            "postal_code": "136012263",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kane ABA Consulting
• Jeffrey H Kaplan, PT
• Mindy Kaplan, PT
• Khalil Kardooni, M.D.
• Karen a. Williams, MD, PC
• John Mackenzie Keenan, D.C.
• Vivian Keenan, M.D.
• Tracey Lee Kellar
• Amanda Keller, CASAC
• Christopher Allan Kellogg, DO

• All providers in Watertown, NY
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2019; 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.