Individual provider Active NPI

Hanna Prange, PT, DPT

  • Physical Therapist
  • Seattle, WA
National Provider Identifier
1902209117
Registry record updated Nov 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
60470085 Issued in WA
Practice address
3601 Fremont Ave N Ste 216
Seattle, WA 98103-8753
Phone
(206) 548-1522
NPI assigned
Oct 1, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2014

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 60470085 WA Primary

Addresses

Primary practice location

3601 Fremont Ave N Ste 216
Seattle, WA 98103-8753

Mailing address

1560 140TH Ave NE
Suite 100
Bellevue, WA 98005-4571
Phone (425) 746-2475

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141217002939 WA Practitioner - Physical Therapist in Private Practice 5395068639 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Washington School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Therapydia California Physical Therapy P CGroup PAC ID 9638428097, 21 clinicians

Practice addresses (Care Compare)

1500 NW 63Rd St
Seattle, WA 98107-2338
Phone (360) 768-4340

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
60470085WAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Therapydia California Physical Therapy, PC. Physical Therapist CurrentSince Sep 26, 2022 Accepting new patients
Active Seattle Physical Therapy, PLLC Physical Therapist CurrentSince Oct 13, 2024 Accepting new patients
Therapydia of Washington PC Physical Therapist PastSince Dec 1, 2024 Accepting new patients

Locations

18 E Blithedale Ave
Ste 21
Mill Valley, CA 94941

508 1st Ave N
Seattle, WA 98109
Phone (206) 895-7535

1125 SE 163rd Pl
Ste 102
Vancouver, WA 98683
Phone (360) 658-4340

Organizations & group practices 3

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": "1412121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416528000000",
    "number": "1902209117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1560 140TH AVE NE",
            "address_2": "SUITE 100",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980054571",
            "telephone_number": "425-746-2475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 FREMONT AVE N STE 216",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981038753",
            "telephone_number": "206-548-1522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRANGE",
        "first_name": "HANNA",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-01",
        "last_updated": "2014-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "60470085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2014; 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.