Sophia Brett Hansen

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT-164 Issued in GU

Practice address

643 Chalan San Antonio
Ste 108
Tamuning, GU 96913-3644

Phone

(858) 926-6193

NPI assigned

Jan 10, 2021

Last updated

Dec 7, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

• Newgen Aesthetics & Wellness, LLC

  dba Newgen Home Health Agency

  • Home Health Agency
  • Tamuning, GU
  • NPI 1417623380

  Physical Therapist

  NPD
• Newgen Aesthetics & Wellness, LLC

  dba NewGen Physical Therapy

  • Physical Therapy Clinic/Center
  • Mangilao, GU
  • NPI 1467908673

  Physical Therapist

  NPD

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

{
    "created_epoch": "1610236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638835200000",
    "number": "1134717663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 290087",
            "city": "YIGO",
            "state": "GU",
            "postal_code": "969293031",
            "telephone_number": "858-926-6193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "643 CHALAN SAN ANTONIO",
            "address_2": "STE 108",
            "city": "TAMUNING",
            "state": "GU",
            "postal_code": "969133644",
            "telephone_number": "858-926-6193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSEN",
        "first_name": "SOPHIA",
        "middle_name": "BRETT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-10",
        "last_updated": "2021-12-07",
        "certification_date": "2021-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "299263",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GU",
            "license": "PT-164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hafa Adai Family Dental PC
• Hafa Adal Specialist Group, LLP
• Hafa Specialist Group LLP (Hafa Adai Specialist Group LLP)
• Jason S Hahn, M.D.
• Justin Sanders Hale, M.D.
• Health Partners, L.L.C.
• Health Services & Management Inc. (PMC Isla Health System)
• Tina Serena Heinrich, PA-C
• Bethany Helm, PA-C
• Diane M Hiatt, FNP

• Physical Therapist in Tamuning, GU
• Providers in Tamuning, GU by specialty
• Physical Therapist in Guam

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2021; 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.