Active NPI
Hanna Michels, PT
- Physical Therapist
- Versailles, MO
National Provider Identifier
1861090201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2020027873
- Practice address
- 1101 W Clay Rd
Versailles, MO 65084-1177 - Phone
- (573) 539-3065
- NPI assigned
- Oct 16, 2020
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2020027873 | MO | Primary |
Addresses
Primary practice location
1101 W Clay Rd
Versailles, MO 65084-1177
Mailing address
2051 Hampshire Dr
Jefferson City, MO 65109-5370
Phone (636) 667-2458
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2020027873 | MO | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1602806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602806400000",
"number": "1861090201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2051 HAMPSHIRE DR",
"city": "JEFFERSON CITY",
"state": "MO",
"postal_code": "651095370",
"telephone_number": "636-667-2458"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1101 W CLAY RD",
"city": "VERSAILLES",
"state": "MO",
"postal_code": "650841177",
"telephone_number": "573-539-3065"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MICHELS",
"first_name": "HANNA",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-10-16",
"last_updated": "2020-10-16",
"certification_date": "2020-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MO",
"license": "2020027873",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Versailles, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.