Kaitlyn Ann Hansen, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

046174 Issued in NY

Practice address

2 Country Club Rd
Queensbury, NY 12804-1702

Phone

(518) 926-2005

NPI assigned

Sep 21, 2020

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1600646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601251200000",
    "number": "1306452677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 CROCUS CT",
            "city": "SOUTH GLENS FALLS",
            "state": "NY",
            "postal_code": "128035469",
            "telephone_number": "518-932-5352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 COUNTRY CLUB RD",
            "city": "QUEENSBURY",
            "state": "NY",
            "postal_code": "128041702",
            "telephone_number": "518-926-2005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSEN",
        "first_name": "KAITLYN",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-21",
        "last_updated": "2020-09-28",
        "certification_date": "2020-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "046174",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00314998",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarena B Hall, LMHC
• Shalyn Mae Hall
• Mary Hallquist, LCMHC
• Victoria Hankinson, PA-C
• Sandra Margaret Hanley, MA, NCC, LPC
• Chelsea I Harrington, LMSW
• Sarah O'Shea Harrington, RN
• James Daniel Harris, DOCTOR OF PHARMACY
• McKenna Harris, DPT
• Jena Hart, MS, RDN, CDN

• Physical Therapist in Queensbury, NY
• Providers in Queensbury, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2020; 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.