Active NPI
Heath Hansen
- Respiratory/Developmental/Rehabilitative Specialist/Technologist
- Highland, IN
National Provider Identifier
1033398300
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Respiratory/Developmental/Rehabilitative Specialist/Technologist
- Practice address
- 9009B Indianapolis Blvd
Highland, IN 46322-2502 - Phone
- (219) 923-0454
- NPI assigned
- Nov 2, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Respiratory/Developmental/Rehabilitative Specialist/Technologist | 225500000X | IN | Primary | |
| Rehabilitation Practitioner | 225400000X | IN |
Addresses
Primary practice location
9009B Indianapolis Blvd
Highland, IN 46322-2502
Mailing address
12400 S Harlem Ave
Palos Heights, IL 60463-1440
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01622333 | Other | IL | BLUE CROSS BLUE SHIELD |
| 7454077 | Other | IN | AETNA |
| 01622333 | Other | IN | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 020228048 | IN | MD | Respiratory/Developmental/Rehabilitative Specialist/Technologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| WCS Occupational Rehabilitation and Sports Medicine, Inc. | Past | Accepting new patients | |
| WCS Occupational Rehabilitation and Sports Medicine, Inc. | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Highland, IN
- NPI 1063569028
-
- Physical Therapist
- Barrington, IL
- NPI 1275712515
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1195776000000",
"number": "1033398300",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12400 S HARLEM AVE",
"city": "PALOS HEIGHTS",
"state": "IL",
"postal_code": "604631440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9009B INDIANAPOLIS BLVD",
"city": "HIGHLAND",
"state": "IN",
"postal_code": "463222502",
"telephone_number": "219-923-0454"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANSEN",
"first_name": "HEATH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-11-02",
"last_updated": "2007-11-23",
"status": "A"
},
"taxonomies": [
{
"code": "225500000X",
"taxonomy_group": "",
"desc": "Specialist/Technologist",
"state": "IN",
"license": null,
"primary": true
},
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": "IN",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "01622333",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7454077",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "01622333",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Highland, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.