Mason Judd Hansen, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2025020494 Issued in MO

Practice address

1705 Christy Dr Ste 200
Jefferson City, MO 65101-5195

Phone

(573) 659-5515

NPI assigned

Jun 5, 2025

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2025

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Central Missouri Physical Therapy LLCGroup PAC ID 6901870187, 59 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Central Missouri Physical Therapy LLC

  • Physical Therapist
  • Columbia, MO
  • NPI 1558436592
  Medicare reassignment Care Compare group NPD
• Boone Physician Services, LLC

  • Multi-Specialty Clinic/Center
  • Columbia, MO
  • NPI 1760893259
  NPD (past)

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

{
    "created_epoch": "1749081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749081600000",
    "number": "1073407870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6601 HANSEN TER",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651093298",
            "telephone_number": "573-680-6979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705 CHRISTY DR STE 200",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651015195",
            "telephone_number": "573-659-5515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSEN",
        "first_name": "MASON",
        "middle_name": "JUDD",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-06-05",
        "last_updated": "2025-06-05",
        "certification_date": "2025-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2025020494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chloe Hampton
• Autumn A Han, M.D.
• Hand N Hand, LLC
• Hanger Prosthetics & Orthotics East, Inc.
• Alexis Diane Hanks, MOT, OTR/L
• Jonathan Grant Hanson, D.D.S.
• Robert K Harker, MED
• Harmonic Medical Group of Missouri, P.C.
• Amy Harrell, APN
• Blythe Erin Harris, M.D.

• Physical Therapist in Jefferson City, MO
• Providers in Jefferson City, MO by specialty
• Physical Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 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.