Individual provider Active NPI

Kristina Hanson, DPT

  • Physical Therapist
  • SLC, UT
National Provider Identifier
1255480539
Registry record updated May 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
4190 S Highland Dr Ste 202
SLC, UT 84124-2786
Phone
(801) 891-5747
NPI assigned
Jan 9, 2007
Last updated
May 15, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 15, 2022

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 6251372-2401 UT
Physical Therapist 225100000X UT Primary

Addresses

Primary practice location

4190 S Highland Dr Ste 202
SLC, UT 84124-2786

Mailing address

1280 Foxcrest CT
Park City, UT 84098-6335
Phone (801) 891-5747

Other practice location 1

900 Round Valley Dr
Park City, UT 84060-7552
Phone (435) 658-7000

Other practice location 2

1280 Foxcrest Ct
Park City, UT 84098-6335
Phone (801) 891-5747

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652572800000",
    "number": "1255480539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1280 FOXCREST CT",
            "city": "PARK CITY",
            "state": "UT",
            "postal_code": "840986335",
            "telephone_number": "801-891-5747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4190 S HIGHLAND DR STE 202",
            "city": "SLC",
            "state": "UT",
            "postal_code": "841242786",
            "telephone_number": "801-891-5747"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "900 Round Valley Dr",
            "address_purpose": "LOCATION",
            "city": "Park City",
            "state": "UT",
            "postal_code": "840607552",
            "country_code": "US",
            "telephone_number": "435-658-7000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1280 Foxcrest Ct",
            "address_purpose": "LOCATION",
            "city": "Park City",
            "state": "UT",
            "postal_code": "840986335",
            "country_code": "US",
            "telephone_number": "801-891-5747",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HANSON",
        "first_name": "KRISTINA",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-09",
        "last_updated": "2022-05-15",
        "certification_date": "2022-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "UT",
            "license": "6251372-2401",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "UT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in SLC, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2022; 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.