Jeffrey Hanson
Individual provider Active NPI Physical Therapist · Conway, NH
NPI 1093894875 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1093894875
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 2304 (NH)
- Practice address
- 37 Main St
Conway, NH 03818-6166 - Phone
- (603) 447-2533
- NPI assigned
- Nov 3, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Saco Bay Orthopaedic and Sports Physical Therapy Inc
Practice addresses (Care Compare)
15 US Route 302
Suite 2
Glen, NH 03838-6300
Phone (603) 383-7009
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NH
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040805000930 | NH | Practitioner - Physical Therapist in Private Practice | 6305817909 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saco Bay Orthopaedic and Sports Physical Therapy, Inc. | Current |
Accepting new patients | |
| Saco Bay Orthopaedic and Sports Physical Therapy, Inc. | Current |
Accepting new patients | |
| Saco Bay Orthopaedic and Sports Physical Therapy, Inc. | Physical Therapist | Current | Accepting new patients |
Locations
37 Main St
Conway, NH 03818
Phone (603) 447-2533
15 US Route 302
Ste 2
Glen, NH 03838
Phone (603) 383-7009
75 Newport Rd
Unit 4
New London, NH 03257
Phone (603) 526-2781
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2304 | NH | Yes |
Addresses
Primary practice location
37 Main St
Conway, NH 03818-6166
Mailing address
37 Main St
P.O. Box 1828
Conway, NH 03818-6166
Other providers in Conway, NH
- Larry Gordon
- Stephanie Alice Gould
- Green Fern in-Home Care Service
- Marie A Hager
- Katy Hamill
- Sheena Hardy
- Victoria Harlow
- Hart'S Location School District
- Healing Hearts Therapy PLLC
- Healing Pathways Therapy, PLLC
All providers in Conway, NH · Physical Therapist in New Hampshire
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.