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

Keroles Hanna, PTA

Individual provider Physical Therapy Assistant · NPI 1679040463

Keroles Hanna, PTA is a Physical Therapy Assistant in Crestwood, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2018
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

See every abbreviation used in this directory →

Practice location Address checks out

14255 Cicero Ave
Crestwood, IL 60418-2154
Phone: (708) 371-0400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 160.008306 (IL)

Record details

NPI number1679040463
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorYes
NPI enumeratedOctober 30, 2018
Last updated in NPPESOctober 30, 2018

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