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

Hannah Mimmack

Individual provider Physical Therapist · NPI 1538026372

Hannah Mimmack is a Physical Therapist in Private Practice in Bainbridge Island, Washington. Qualified in 2025, 1 year ago. Practices with Kitsap Physical Therapy and Sports Clinic Ps Inc, a 141-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
1
Licensed in
WA
In the registry since
2026
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Practice location Address checks out

945 Hildebrand Ln NE Ste 220
Bainbridge Island, WA 98110-2877
Phone: (360) 598-3764
Fax: (360) 598-3282
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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 CP052191T (WA)

Record details

NPI number1538026372
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 5, 2026
Last updated in NPPESJanuary 5, 2026
Certification dateJanuary 5, 2026
Mailing address10818 E Maplewood Dr, Englewood, CO 80111-5737

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Kitsap Physical Therapy And Sports Clinic Ps Inc — 141 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Bainbridge Island