Individual provider Active NPI

Craig Alexander Hansen I

  • Orthopedic Physical Therapist
  • Stoneham, MA
National Provider Identifier
1043415441
Registry record updated Jan 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
9082 Issued in MA
Practice address
92 Montvale Ave
Ste 1400
Stoneham, MA 02180-3629
Phone
(617) 591-4655
NPI assigned
Jun 18, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 9082 MA Primary

Addresses

Primary practice location

92 Montvale Ave
Ste 1400
Stoneham, MA 02180-3629

Mailing address

19 Lawrence St
Wilmington, MA 01887-1905

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110207000743 MA Practitioner - Physical Therapist in Private Practice 8123208220 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthopedic Surgery, IncGroup PAC ID 0244207645, 25 clinicians

Practice addresses (Care Compare)

92 Montvale Ave
Suite 1400
Stoneham, MA 02180-3629
Phone (781) 279-7040

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9082MAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedic Surgery, Inc CurrentSince Nov 30, 2010 Accepting new patients

Locations

92 Montvale Ave
Ste 4500
Stoneham, MA 02180
Phone (781) 279-8433

92 Montvale Ave
Ste 1400
Stoneham, MA 02180
Phone (781) 279-7040

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1182124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452211200000",
    "number": "1043415441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 LAWRENCE ST",
            "city": "WILMINGTON",
            "state": "MA",
            "postal_code": "018871905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "92 MONTVALE AVE",
            "address_2": "STE 1400",
            "city": "STONEHAM",
            "state": "MA",
            "postal_code": "021803629",
            "telephone_number": "617-591-4655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSEN",
        "first_name": "CRAIG",
        "middle_name": "ALEXANDER",
        "name_prefix": "Mr.",
        "name_suffix": "I",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-18",
        "last_updated": "2016-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "MA",
            "license": "9082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stoneham, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2016; 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.