Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Bassam Hannaway, MPT

Individual provider Physical Therapist · NPI 1124194618

Bassam Hannaway, MPT is a Physical Therapist in Private Practice in Redlands, California. Graduated from Loma Linda University School of Medicine in 1994, 32 years ago. Practices with San Bernardino Medical Orthopaedic Group Inc, a 91-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
32
Trained at
Loma Linda University School of Medicine
Licensed in
CA
In the registry since
2006
What do these letters mean?
MPT — Master of Physical Therapy
The master's-level physical therapy degree awarded before the DPT became standard.

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Practice location Address checks out

1901 W Lugonia Ave Ste 130
Redlands, CA 92374-9704
Phone: (909) 557-1600
Fax: (909) 557-1740
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT25186 (CA)

Record details

NPI number1124194618
Entity typeIndividual (Type 1)
GenderMale
Credentials MPT
Sole proprietorNo
NPI enumeratedNovember 27, 2006
Last updated in NPPESSeptember 17, 2008

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolLOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Graduated 1994 (32 years in practice)
Group practice San Bernardino Medical Orthopaedic Group Inc — 91 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Redlands