Active NPI
Kathleen Gail Hanson, M.S., OTR/L
- Occupational Therapist
- Mesa, AZ
National Provider Identifier
1124228606
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 3940
- Practice address
- 1833 S Brighton Cir
Mesa, AZ 85209-4018 - Phone
- (480) 634-1676
- NPI assigned
- Jul 23, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 3940 | AZ | Primary |
Addresses
Primary practice location
1833 S Brighton Cir
Mesa, AZ 85209-4018
Mailing address
1833 S Brighton Cir
Mesa, AZ 85209-4018
Phone (480) 634-1676
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 228603 | Other | AZ | AHCCCS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3940 | AZ | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185148800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1359072000000",
"number": "1124228606",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1833 S BRIGHTON CIR",
"city": "MESA",
"state": "AZ",
"postal_code": "852094018",
"telephone_number": "480-634-1676"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1833 S BRIGHTON CIR",
"city": "MESA",
"state": "AZ",
"postal_code": "852094018",
"telephone_number": "480-634-1676"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANSON",
"first_name": "KATHLEEN",
"middle_name": "GAIL",
"credential": "M.S., OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-07-23",
"last_updated": "2013-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "AZ",
"license": "3940",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AHCCCS",
"identifier": "228603",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.