Healthcare Provider Details

I. General information

NPI: 1528665346
Provider Name (Legal Business Name): HANNAH MCCAFFERY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/05/2020
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1024 A1A HWY STE 142
SATELLITE BEACH FL
32937-2332
US

IV. Provider business mailing address

650 N ATLANTIC AVE APT 401
COCOA BEACH FL
32931-3139
US

V. Phone/Fax

Practice location:
  • Phone: 321-409-5777
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number17880-24
License Number StateWI
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT36065
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: