GAGE HANNOT DPT
NPI 1073445524
Physical Therapist in De Pere, WI

Active since June 01, 2026Accepts Medicare Assignment
3852 CREAMERY RD, DE PERE, WI 54115(920) 338-9670 Get Directions Write a Review

NPPES record last updated: June 1, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Gage Hannot Dpt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GAGE HANNOT DPT (NPI 1073445524) is an individual physical therapist in De Pere, Wisconsin, licensed in Wisconsin (17767-24) and active in the NPI registry since June 2026. He is a graduate of Other (2026).

NPPES Registry Identity

NPI1073445524
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameGAGE HANNOTCredential: DPT
Location Address3852 CREAMERY RDDe Pere, WI 54115-9210
Mailing Address3852 Creamery RdDe Pere, WI 54115-9210 · (920) 338-9670
Sole ProprietorNo
Medical School CMSOtherGraduated 2026
Enumeration DateJune 1, 2026
NPPES CertifiedMay 31, 2026
✔ NPI 1073445524 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License✔ Licensed in WI · 17767-24
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
3852 CREAMERY RD, De Pere, WI 54115

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Gage Hannot Dpt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1153894233
PECOS Enrollment IDI20260622001445

Medicare Billing Reassignment

Medicare enrollment records show Gage Hannot reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Physical Therapist
3852 CREAMERY RD
De Pere, WI 54115
  • Reassigned Medicare billing, Wisconsin enrollment
  • 8 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54115 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
3852 CREAMERY RD
DE PERE, WI 54115
Counselor (Professional)
3852 CREAMERY RD
DE PERE, WI 54115
Occupational Therapist
3852 CREAMERY RD
DE PERE, WI 54115
Clinic/Center (Mental Health (Including Community Mental Health Center))
3852 CREAMERY RD
DE PERE, WI 54115
Physical Therapist
3852 CREAMERY RD
DE PERE, WI 54115
Occupational Therapist
3852 CREAMERY RD
DE PERE, WI 54115
Physical Therapist
3852 CREAMERY RD
DE PERE, WI 54115
Physical Therapist
3852 CREAMERY RD
DE PERE, WI 54115

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gage Hannot's NPI number?

The NPI number for Gage Hannot is 1073445524. It was assigned to this individual provider in the NPPES registry on June 1, 2026.

Where is Gage Hannot located?

Gage Hannot practices at 3852 Creamery Rd, De Pere, WI 54115. The listed phone number is (920) 338-9670.

What is Gage Hannot's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Gage Hannot enrolled in Medicare?

Yes. Gage Hannot is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Gage Hannot's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gage Hannot reassigns Medicare benefits to Andrews Physical Therapy, Sc (De Pere, WI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Gage Hannot's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Gage Hannot was last updated on June 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.