Individual provider Active NPI

Heather A. Hanson, P.T.

  • Pediatric Physical Therapist
  • Attleboro, MA
National Provider Identifier
1194903468
Registry record updated Apr 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
License
11745 Issued in MA
Practice address
1395 Commerce Way Ste 112
Attleboro, MA 02703-4695
Phone
(508) 455-5740
Fax
(508) 455-5945
NPI assigned
Feb 8, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 11745 MA
Pediatric Physical Therapist 2251P0200X 11745 MA Primary

Addresses

Primary practice location

1395 Commerce Way Ste 112
Attleboro, MA 02703-4695

Mailing address

4 Richmond SQ Ste 200
Providence, RI 02906-5117
Phone (401) 433-4172

Other practice location 1

501 John Mahar Hwy Ste 100
Braintree, MA 02184-6563
Phone (781) 214-1717

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211108001607 MA Practitioner - Physical Therapist in Private Practice 8325437643 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11745MAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Silver Fern Practice, LLC Physical Therapist CurrentSince Jun 1, 2025 Accepting new patients
Silver Fern Practice, LLC Physical Therapist CurrentSince Jun 1, 2025 Accepting new patients
Peak Physical Therapy Inc Physical Therapist CurrentSince Nov 3, 2021 Accepting new patients

Locations

1395 Commerce Way
Ste 112
Attleboro, MA 02703
Phone (508) 455-5740

501 John Mahar Hwy
Ste 200
Braintree, MA 02184
Phone (781) 384-0500

501 John Mahar Hwy
Ste 100
Braintree, MA 02184
Phone (781) 214-1717

99 Longwater Cir
Ste 201
Norwell, MA 02061
Phone (781) 347-4686

4 Richmond Sq
Ste 200
Providence, RI 02906

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1202428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745971200000",
    "number": "1194903468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 RICHMOND SQ STE 200",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029065117",
            "telephone_number": "401-433-4172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1395 COMMERCE WAY STE 112",
            "city": "ATTLEBORO",
            "state": "MA",
            "postal_code": "027034695",
            "telephone_number": "508-455-5740",
            "fax_number": "508-455-5945"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "501 John Mahar Hwy Ste 100",
            "address_purpose": "LOCATION",
            "city": "Braintree",
            "state": "MA",
            "postal_code": "021846563",
            "country_code": "US",
            "telephone_number": "781-214-1717",
            "fax_number": "339-201-3374",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HANSON",
        "first_name": "HEATHER",
        "middle_name": "A.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-08",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "11745",
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "MA",
            "license": "11745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Attleboro, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2025; 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.