IndividualActive
Derek Hanaman, MPT
NPI 1649393844 · Physical Therapist · Summit, WI
Provider details
- NPI number
- 1649393844
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- MPT
- Sex
- Male
- Sole proprietor
- Yes
- License
- 6317-024 (WI)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
36500 Aurora Dr
Summit, WI 53066-4899
Phone: (262) 434-2606
Approximate (ZIP-level) locationGet directions
Mailing address
352 Still Water Ct
Dousman, WI 53118-8832
Registry dates
- Enumerated
- 2007-04-10
- Last updated
- 2017-02-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.