Provider Demographics
NPI:1346139821
Name:BEYOND THE V PHYSICAL THERAPY
Entity type:Organization
Organization Name:BEYOND THE V PHYSICAL THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PAULINE
Authorized Official - Middle Name:
Authorized Official - Last Name:HANNAN
Authorized Official - Suffix:
Authorized Official - Credentials:PT, DPT, CERT-DN
Authorized Official - Phone:509-430-4616
Mailing Address - Street 1:856 S MAIN ST UNIT B
Mailing Address - Street 2:
Mailing Address - City:PLEASANT GROVE
Mailing Address - State:UT
Mailing Address - Zip Code:84062-3528
Mailing Address - Country:US
Mailing Address - Phone:509-430-4616
Mailing Address - Fax:
Practice Address - Street 1:856 S MAIN ST UNIT B
Practice Address - Street 2:
Practice Address - City:PLEASANT GROVE
Practice Address - State:UT
Practice Address - Zip Code:84062-3528
Practice Address - Country:US
Practice Address - Phone:509-430-4616
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-30
Last Update Date:2025-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty