Gwen R'Dene Hanson, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

109562 Issued in TX

Practice address

3600 W 7TH St
Fort Worth, TX 76107-2534

Phone

(817) 377-3422

Fax

(817) 735-8615

NPI assigned

Feb 2, 2007

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Cross Timbers Physical Therapy Center

  • Physical Therapy Clinic/Center
  • Fort Worth, TX
  • NPI 1659353597
  NPD Authorized official

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306984208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2344 FOX GLENN CIR",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760212670",
            "telephone_number": "817-377-3422",
            "fax_number": "817-735-8615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 W 7TH ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761072534",
            "telephone_number": "817-377-3422",
            "fax_number": "817-735-8615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSON",
        "first_name": "GWEN",
        "middle_name": "R'DENE",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "109562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hanshensley, LLC
• Hanson Internal Medicine, P.a.
• Arden Hanson, RPH
• Emily Rana Hanson, LCDC, LPC-INTERN
• Gregory Wayne Hanson, M.D.
• Natalia Castro Hanson, M.D.
• Jeffrey M Hantes, DO
• Kristen S Hanvey, SLP
• Bryan John Hapka, D.C.
• Happy Teeth Dental Centers

• Occupational Therapist in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Occupational Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.