Active NPI
Michael P Hanna, PT
- Physical Therapist
- Thomasville, GA
National Provider Identifier
1861444317
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT002664
- Practice address
- 311 N Dawson St
Thomasville, GA 31792-5132 - Phone
- (229) 226-4114
- Fax
- (229) 226-6408
- NPI assigned
- May 16, 2006
- Last updated
- Dec 8, 2010
- Sex
- Male
- Sole proprietor
- No
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 | PT002664 | GA | Primary |
Addresses
Primary practice location
311 N Dawson St
Thomasville, GA 31792-5132
Mailing address
PO Box 1681
Thomasville, GA 31799-1681
Phone (229) 226-4114
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000633531J | Medicaid | GA |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grady General Hospital | Past | Accepting new patients | |
| Mobility Masters, Inc. | Physical Therapist | Past | Accepting new patients |
| Thomasville Physical Therapy Inc | Past | Accepting new patients |
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/66097e3b-7cef-4b96-acca-38bfaae85903/
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- Thomasville, GA
- NPI 1518918721
-
- General Acute Care Hospital
- Cairo, GA
- NPI 1013961507
-
- Physical Therapist
- Thomasville, GA
- NPI 1477066439
-
- Physical Medicine & Rehabilitation Physician
- Thomasville, GA
- NPI 1598816290
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1291766400000",
"number": "1861444317",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1681",
"city": "THOMASVILLE",
"state": "GA",
"postal_code": "317991681",
"telephone_number": "229-226-4114",
"fax_number": "229-226-6408"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "311 N DAWSON ST",
"city": "THOMASVILLE",
"state": "GA",
"postal_code": "317925132",
"telephone_number": "229-226-4114",
"fax_number": "229-226-6408"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANNA",
"first_name": "MICHAEL",
"middle_name": "P",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-16",
"last_updated": "2010-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT002664",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000633531J",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Thomasville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.