Individual provider Active NPI

Hannah Chauncey, DPT

  • Physical Therapist
  • Calhoun, GA
National Provider Identifier
1891305538
Registry record updated Jun 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT014701 Issued in GA
Practice address
136 W Belmont Dr Ste 12
Calhoun, GA 30701-3064
Phone
(706) 625-0662
Fax
(706) 625-0582
NPI assigned
Aug 7, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2021

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 PT014701 GA Primary

Addresses

Primary practice location

136 W Belmont Dr Ste 12
Calhoun, GA 30701-3064

Mailing address

PO Box 949
Rome, GA 30162-0949
Phone (706) 625-0662

Other names 1

  • Hannah Lively Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200908000359 GA Practitioner - Physical Therapist in Private Practice 8022435007 Reassigns benefits to 2 organizations
I20260522000084 FL Practitioner - Physical Therapist in Private Practice 8022435007 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Inhometherapy IncGroup PAC ID 3971041450, 22 clinicians

Practice addresses (Care Compare)

Greenacres, FL 33463
Phone (866) 573-2556

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT014701GAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Advance Rehabilitation & Consulting Limited Partnership Physical Therapist CurrentSince Jul 1, 2021 Accepting new patients
MCM Rehabilitation, LLC. Physical Therapist CurrentSince Jul 27, 2020 Accepting new patients
MCM Rehabilitation LLC CurrentSince Jul 27, 2020 Accepting new patients
Advance Rehabilitation & Consulting Limited Partnership Physical Therapist CurrentSince Jul 1, 2021 Accepting new patients

Locations

136 W Belmont Dr
Ste 12
Calhoun, GA 30701
Phone (706) 625-0662

1343 W Walnut Ave
Dalton, GA 30720
Phone (706) 913-8201

1000 Johnson Ferry Rd
Ste A115
Marietta, GA 30068
Phone (404) 367-2085

97 Gateway Business Park Dr
Ringgold, GA 30736
Phone (706) 937-5771

790 Remington Blvd
Bolingbrook, IL 60440

4947 Paysphere Cr
Chicago, IL 60674

Organizations & group practices 5

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": "1596758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623024000000",
    "number": "1891305538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 949",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301620949",
            "telephone_number": "706-625-0662",
            "fax_number": "706-625-0582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 W BELMONT DR STE 12",
            "city": "CALHOUN",
            "state": "GA",
            "postal_code": "307013064",
            "telephone_number": "706-625-0662",
            "fax_number": "706-625-0582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAUNCEY",
        "first_name": "HANNAH",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-07",
        "last_updated": "2021-06-07",
        "certification_date": "2021-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT014701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HANNAH",
            "last_name": "LIVELY",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Calhoun, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2021; 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.