Individual provider Active NPI

Courtney L Hansen, MPT

  • Orthopedic Physical Therapist
  • Lander, WY
National Provider Identifier
1003838640
Registry record updated Apr 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
PT847 Issued in WY
Practice address
545 E Main St Ste B
Lander, WY 82520-3470
Phone
(307) 335-3471
Fax
(307) 332-5388
NPI assigned
Jul 24, 2006
Last updated
Apr 7, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT847 WY
Neurology Physical Therapist 2251N0400X PT847 WY
Sports Physical Therapist 2251S0007X PT847 WY
Orthopedic Physical Therapist 2251X0800X PT847 WY Primary

Addresses

Primary practice location

545 E Main St Ste B
Lander, WY 82520-3470

Mailing address

545 E Main St Ste B
Lander, WY 82520-3470
Phone (307) 335-3471

Other identifiers 3

IdentifierTypeStateIssuer
114469300MedicaidWY
650017698OtherWYRAILROAD MEDICARE
307984OtherWYBLUE CROSS BLUE SHIELD

Other names 1

  • Courtney Little Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050715000759 WY Practitioner - Physical Therapist in Private Practice 2668408162 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elevate Rehab LLCGroup PAC ID 4981838687, 9 clinicians

Practice addresses (Care Compare)

545 E Main St
Suite B
Lander, WY 82520-3470
Phone (307) 335-3471

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Elevate Rehab, LLC Orthopedic CurrentSince Nov 1, 2021 Accepting new patients
Fremont Therapy Group LLC Physical Therapist CurrentSince Apr 20, 1999 Accepting new patients
Fremont Therapy Group Limited Partnership Physical Therapist CurrentSince Apr 1, 2021 Accepting new patients
Fremont Therapy Group Limited Partnership CurrentSince Apr 1, 2021 Accepting new patients

Locations

330 Upland Way
Green River, WY 82935
Phone (307) 856-7021

535 E Main St
Ste D
Lander, WY 82520
Phone (307) 335-3471

545 E Main St
#B
Lander, WY 82520
Phone (307) 335-3471

8168 State Highway 789
Lander, WY 82520
Phone (307) 332-5240

2002 W Sunset Dr
Ste 1
Riverton, WY 82501
Phone (307) 856-7021

1401 Gateway Blvd
Unit 2
Rock Springs, WY 82901
Phone (307) 352-3626

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743984000000",
    "number": "1003838640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "545 E MAIN ST STE B",
            "city": "LANDER",
            "state": "WY",
            "postal_code": "825203470",
            "telephone_number": "307-335-3471",
            "fax_number": "307-332-5388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "545 E MAIN ST STE B",
            "city": "LANDER",
            "state": "WY",
            "postal_code": "825203470",
            "telephone_number": "307-335-3471",
            "fax_number": "307-332-5388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSEN",
        "first_name": "COURTNEY",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-24",
        "last_updated": "2025-04-07",
        "certification_date": "2025-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WY",
            "license": "PT847",
            "primary": false
        },
        {
            "code": "2251N0400X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Neurology",
            "state": "WY",
            "license": "PT847",
            "primary": false
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "WY",
            "license": "PT847",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "WY",
            "license": "PT847",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "114469300",
            "state": "WY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "650017698",
            "state": "WY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "307984",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COURTNEY",
            "last_name": "LITTLE",
            "credential": "MPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lander, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.