KATHLEEN SARAH HANLEY – Physical Therapist, NPI 1205796463

KATHLEEN SARAH HANLEY is a healthcare provider. based in Lebanon, New Jersey. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold a License No. 40QA02380600 (NJ). The NPI Number for KATHLEEN SARAH HANLEY is 1205796463

Main info

Female
1 Year Of Experience
Accepts Medicare Assignment
Name
KATHLEEN SARAH HANLEY
NPI
1205796463
Phone
(908) 335-0192
Address
29 POTTERSTOWN RD
Enumeration Date
12 November 2025
Last Update Date
12 November 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8554288246
Graduation Year
2025 (1 year ago)
PAC ID
3779075130
Group Practice PAC ID
6305272659
Professional Enrollment ID
I20251123000167
Address ID
NJ077024203SH766XXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness85
Years active:0State licenses:1Digital endpointsOther names

4,923 PHYSICAL THERAPIST IN PRIVATE PRACTICE in NJ

Provider Addresses for KATHLEEN SARAH HANLEY

  • 29 POTTERSTOWN RD

    LEBANON, NJ 088335045

    Phone: (908) 335-0192

    Type: Mailing

  • 766 BROAD ST

    SHREWSBURY, NJ 077024203

    Phone: (855) 428-8246

    Fax: (855) 428-8246

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-11-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20251123000167IPhysical Therapist In Private PracticeNJTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 08833)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6305272659View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeNY
Occupational Therapist In Private PracticeNJ
Occupational Therapist In Private PracticeNJ
Occupational Therapist In Private PracticeNJ
Physical Therapist In Private PracticeNY
Qualified Speech Language PathologistMD
Qualified Speech Language PathologistNJ
Physical Therapist In Private PracticeNJ
Physical Therapist In Private PracticeNJ
Physical Therapist In Private PracticeNJ

Reviews

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Frequently asked questions

How is KATHLEEN SARAH HANLEY identified in CMS data?
CMS-hosted NPPES data lists KATHLEEN SARAH HANLEY with NPI 1205796463.
Does CMS list KATHLEEN SARAH HANLEY as active?
Yes — KATHLEEN SARAH HANLEY is active in the NPI listing used on this page.
What is KATHLEEN SARAH HANLEY's specialty?
The listing groups KATHLEEN SARAH HANLEY with Physical Therapist. Clinical services aligned with this taxonomy classification.
Where should I expect KATHLEEN SARAH HANLEY on a map?
Expect Lebanon, New Jersey as a primary anchor for KATHLEEN SARAH HANLEY unless the record lists multiple sites.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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