Lisa Lind Hansen, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA06855 Issued in OH

Practice address

16600 W Sprague Rd
Suite 365
Middleburg Heights, OH 44130-6318

Phone

(216) 227-7700

NPI assigned

Jan 13, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Melisa Lind Hansen Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Wallace Management Corporation

  dba Rehabilitex

  • Physical Therapist
  • Dublin, OH
  • NPI 1043298425
  NPD (past)

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

{
    "created_epoch": "1326412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326412800000",
    "number": "1083985691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3719 EDGEHILL DR",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441211972",
            "telephone_number": "678-438-4570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16600 W SPRAGUE RD",
            "address_2": "SUITE 365",
            "city": "MIDDLEBURG HEIGHTS",
            "state": "OH",
            "postal_code": "441306318",
            "telephone_number": "216-227-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSEN",
        "first_name": "LISA",
        "middle_name": "LIND",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-13",
        "last_updated": "2012-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "OH",
            "license": "PTA06855",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "225200000X",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISA",
            "last_name": "HANSEN",
            "middle_name": "LIND",
            "credential": "PTA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• David Brian Haberman
• Paul Ferris Haddad, DO
• Angela Hamel, FNP-BC
• Brandi Hanchosky, CRNA
• Stephanie Elaine Hannah, PHARMD, RPH
• Blake Hardy, MSN, NP-C
• Shannon Harless
• Nathan William Harris, DDS
• Victoria Lynn Harris
• Christy D Hartline

• Physical Therapy Assistant in Middleburg Heights, OH
• Providers in Middleburg Heights, OH by specialty
• Physical Therapy Assistant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.