MEDICARE: HANNAH DIKE PT, DPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	026224	MA

General Provider Information

NPI Number	:	1124974548
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HANNAH DIKE PT, DPT

Provider Business Mailing Address
First Line	:	27 SCHOOL ST
Second Line	:
City	:	BOSTON
State	:	MA
Zip	:	02108-4633
Country	:	US
Telephone Number	:	617-505-6742
Fax Number	:

Provider Business Practice Location Address
First Line	:	1620 BEACON ST
Second Line	:
City	:	BROOKLINE
State	:	MA
Zip	:	02446-2270
Country	:	US
Telephone Number	:	617-505-6742
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/09/2026
Last Update Date	:	03/09/2026

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