Michael Hannig, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

073725 Issued in IA

Practice address

2332 Liberty Dr
Coralville, IA 52241-2771

Phone

(319) 545-7390

NPI assigned

Aug 11, 2014

Last updated

Aug 11, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1407715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407715200000",
    "number": "1891104204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2028 9TH ST APT 8",
            "city": "CORALVILLE",
            "state": "IA",
            "postal_code": "522411535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2332 LIBERTY DR",
            "city": "CORALVILLE",
            "state": "IA",
            "postal_code": "522412771",
            "telephone_number": "319-545-7390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANNIG",
        "first_name": "MICHAEL",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-08-11",
        "last_updated": "2014-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "IA",
            "license": "073725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dillon Edward Hammes, D.C.
• Mitchell Heawon Hampton, DDS
• Kila Haney
• Alex Hangartner, RPH
• Chad Raymond Hanneman, DDS
• Kate Duchene Hanrahan, M.D.
• Cameron Clarice Hanson, LMSW
• Jared Hanus, DPT
• Nidal H Harb, M.D.
• Alyssa Paige Harbeck

• Physical Therapy Assistant in Coralville, IA
• Providers in Coralville, IA by specialty
• Physical Therapy Assistant in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.