Lanthan Hakanson, DPT
Individual provider Active NPI Physical Therapist · Fresno, CA
NPI 1003359142 · NPPES record last updated Jun 23, 2025
Key facts
- NPI
- 1003359142
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 292408 (CA)
- Practice address
- 6335 N Fresno St Ste 108
Fresno, CA 93710-5272 - Phone
- (594) 320-5245
- Fax
- (559) 449-8646
- NPI assigned
- Nov 21, 2016
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2016
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Sports and Orthopedic Physical Therapy Clinic Inc
Practice addresses (Care Compare)
6335 N Fresno St
Suite 108
Fresno, CA 93710-5272
Phone (559) 432-0524
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170224001163 | CA | Practitioner - Physical Therapist in Private Practice | 2769766492 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 292408 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sports & Orthopedic Physical Therapy Clinic Inc | Physical Therapist | Current |
Accepting new patients |
| The Rehab Group | Physical Therapist | Current |
Accepting new patients |
| Precision Rehabilitation & Orthopedic Physical Therapy Inc | Physical Therapist | Current |
Accepting new patients |
| Precision Rehabilitation & Orthopedic Physical Therapy Inc | Physical Therapist | Current |
Accepting new patients |
| Advanced Physical and Occupational Therapy | Physical Therapist | Past | Accepting new patients |
Locations
606 N Magnolia Ave
Clovis, CA 93611
Phone (559) 321-8162
6335 N Fresno St
Ste 108
Fresno, CA 93710
Phone (559) 432-0524
40680 California Oaks Rd
Ste 2A
Murrieta, CA 92562
Phone (951) 894-4800
1870 S Central St
Visalia, CA 93277
Phone (559) 636-1200
701 W Center Ave
Visalia, CA 93291
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 292408 | CA | Yes |
Addresses
Primary practice location
6335 N Fresno St Ste 108
Fresno, CA 93710-5272
Mailing address
6335 N Fresno St Ste 108
Fresno, CA 93710-5272
Phone (559) 432-0524
Other providers in Fresno, CA
- Ramona Hairabedian
- Natalie Hajian
- Mohammad Hajirasooli
- Christopher Hajou
- Mohammed L Hajsaleh
- Simon Hakimi
- Mehdi Hakimipour
- David Kyle Hakkarinen
- Christina Hakl
- Janet Hakopian
All providers in Fresno, CA · Physical Therapist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 23, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.