Gennessa Spang-Hansen, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

23208 Issued in MA

Practice address

711 W Center St
West Bridgewater, MA 02379-1542

Phone

(508) 659-4499

Fax

(508) 510-4987

NPI assigned

Aug 17, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bay State Physical Therapy of Randolph IncGroup PAC ID 6305744251, 451 clinicians

Performance Rehabilitation of Western New England LLCGroup PAC ID 7911979950, 201 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• Bay State Physical Therapy of Randolph Inc

  • Physical Therapist
  • Fall River, MA
  • NPI 1164474334
  Medicare reassignment Care Compare group
• Performance Rehabilitation of Western New England LLC

  • Physical Therapist
  • West Springfield, MA
  • NPI 1710919063
  Medicare reassignment Care Compare group
• Performance Rehabilitation of Western New England LLC

  • Durable Medical Equipment & Medical Supplies
  • Wilbraham, MA
  • NPI 1376140566

  Physical Therapist

  NPD
• Performance Rehabilitation of Western New England LLC

  • Occupational Therapist
  • East Longmeadow, MA
  • NPI 1740345818

  Physical Therapist

  NPD

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

{
    "created_epoch": "1502928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618963200000",
    "number": "1306362702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 GRANITE ST STE 3",
            "city": "BRAINTREE",
            "state": "MA",
            "postal_code": "021845350",
            "telephone_number": "781-961-3370",
            "fax_number": "781-961-1291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 W CENTER ST",
            "city": "WEST BRIDGEWATER",
            "state": "MA",
            "postal_code": "023791542",
            "telephone_number": "508-659-4499",
            "fax_number": "508-510-4987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPANG-HANSEN",
        "first_name": "GENNESSA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-17",
        "last_updated": "2021-04-21",
        "certification_date": "2021-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "23208",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110126482A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• South Shore Speech, LLC
• Southeast Adolescent and Adult Counseling
• Leaanne Stunkel-Doyle, LMHC
• Summit Home Healthcare LLC
• Michael Tabbah, DMD
• Victoria Jayne Tan
• Tender Loving Care Health Care Services of New England, LLC

• Physical Therapist in West Bridgewater, MA
• Providers in West Bridgewater, MA by specialty
• Physical Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.