Jan Hanson, PT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

885 Issued in MN

Practice address

670 Commerce Dr Ste 140
Woodbury, MN 55125-9290

Phone

(651) 501-2010

Fax

(651) 436-6775

NPI assigned

Sep 14, 2006

Last updated

Dec 28, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Therex Rehab Specialists, LLC

  dba Fyzical Therapy and Balance Centers Edina

  • Physical Therapist
  • Woodbury, MN
  • NPI 1629004692

  Orthopedic

  Medicare reassignment NPD

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703721600000",
    "number": "1073618773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 SCHOONER CT",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551259295",
            "telephone_number": "651-436-2362",
            "fax_number": "651-730-1121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "670 COMMERCE DR STE 140",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551259290",
            "telephone_number": "651-501-2010",
            "fax_number": "651-436-6775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSON",
        "first_name": "JAN",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-14",
        "last_updated": "2023-12-28",
        "certification_date": "2023-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "MN",
            "license": "885",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MN BCBS",
            "identifier": "034M0HA",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "139319700",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "6403663",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US DEPT OF LABOR",
            "identifier": "487001000",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda Hanson
• Amanda Jane Hanson
• Anna Christine Hanson, PA-C
• Christina Hanson
• Christina Beth Hanson, PA-C
• Marissa Hanson, LICSW
• Tyler Hanson, D.C.
• John M Hapka, D.C.
• Happy Health Anchor PA
• Megan Harkness-Madole, PHARMD

• Orthopedic Physical Therapist in Woodbury, MN
• Providers in Woodbury, MN by specialty
• Orthopedic Physical Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.