Active NPI
Jennifer Sue Hansen, MPT
- Physical Therapist
- Waverly, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 02611
- Practice address
- 312 9TH St SW
Waverly, IA 50677-2929 - Phone
- (319) 352-5644
- NPI assigned
- Apr 25, 2007
- Last updated
- Feb 7, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 02611 | IA | Primary |
Addresses
Primary practice location
312 9TH St SW
Waverly, IA 50677-2929
Mailing address
PO Box 2758
Waterloo, IA 50704-2758
Phone (319) 235-5390
Other practice location 1
125 E Tower Park Dr
Waterloo, IA 50701
Phone (319) 232-6339
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jennifer.hansen@cvms.eclinicaldirectplus.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2160 Logan Ave
Waterloo, IA 50703-1006
Phone (319) 226-5860
4480 Utica Ridge Rd
Bettendorf, IA 52722-1644
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 02611 | IA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Iowa Physicians Clinic Medical Foundation | Current | Accepting new patients |
Locations
4480 Utica Ridge Rd
Ste 160
Bettendorf, IA 52722
Phone (563) 742-5950
4480 Utica Ridge Rd
Ste 2230
Bettendorf, IA 52722
Phone (563) 742-5150
7024 Nordic Dr
Ste 200
Cedar Falls, IA 50613
Phone (319) 859-3895
1631 Logan Ave
Waterloo, IA 50703
Phone (319) 232-2630
1753 W Ridgeway Ave
Ste 107
Waterloo, IA 50701
Phone (319) 833-5907
2160 Logan Ave
Waterloo, IA 50703
Phone (319) 226-5860
312 9th St SW
Waverly, IA 50677
Phone (319) 352-4120
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/IFCABD
Organizations & group practices 1
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.
-
dba UnityPoint Clinic
- General Practice Physician
- West Des Moines, IA
- NPI 1366425274
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177459200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644192000000",
"number": "1023238987",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2758",
"city": "WATERLOO",
"state": "IA",
"postal_code": "507042758",
"telephone_number": "319-235-5390"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "312 9TH ST SW",
"city": "WAVERLY",
"state": "IA",
"postal_code": "506772929",
"telephone_number": "319-352-5644"
}
],
"practiceLocations": [
{
"address_1": "125 E Tower Park Dr",
"address_purpose": "LOCATION",
"city": "Waterloo",
"state": "IA",
"postal_code": "50701",
"country_code": "US",
"telephone_number": "319-232-6339",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HANSEN",
"first_name": "JENNIFER",
"middle_name": "SUE",
"credential": "MPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-25",
"last_updated": "2022-02-07",
"certification_date": "2022-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IA",
"license": "02611",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jennifer.hansen@cvms.eclinicaldirectplus.com",
"affiliation": "N",
"endpointDescription": "CVMS",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCDA",
"address_1": "125 E Tower Park Dr",
"city": "Waterloo",
"state": "IA",
"country_code": "US",
"postal_code": "507019330",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Waverly, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2022; 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.