Active NPI
Nuha Hasan, PT, DPT
- Physical Therapist
- Orland Park, IL
National Provider Identifier
1972820306
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070.017742
- Practice address
- 15752 S la Grange Rd Ste 15
Orland Park, IL 60462-4766 - Phone
- (708) 778-3445
- Fax
- (708) 778-3478
- NPI assigned
- Apr 26, 2010
- 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 | 070.017742 | IL | Primary |
Addresses
Primary practice location
15752 S la Grange Rd Ste 15
Orland Park, IL 60462-4766
Mailing address
15752 S la Grange Rd Ste 15
Orland Park, IL 60462-4766
Phone (708) 778-3445
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070.017742 | IL | MD | Physical Therapist |
Organizations & group practices 1
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.
-
- Physical Therapy Clinic/Center
- Orland Park, IL
- NPI 1255844759
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1272240000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580256000000",
"number": "1972820306",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15752 S LA GRANGE RD STE 15",
"city": "ORLAND PARK",
"state": "IL",
"postal_code": "604624766",
"telephone_number": "708-778-3445",
"fax_number": "708-778-3478"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15752 S LA GRANGE RD STE 15",
"city": "ORLAND PARK",
"state": "IL",
"postal_code": "604624766",
"telephone_number": "708-778-3445",
"fax_number": "708-778-3478"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HASAN",
"first_name": "NUHA",
"name_prefix": "Dr.",
"credential": "PT, DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-04-26",
"last_updated": "2020-01-29",
"certification_date": "2020-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070.017742",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orland Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.