Jagar Hanson, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

12904 Issued in MN

Practice address

1630 101St Ave NE Ste 140
Blaine, MN 55449-3401

Phone

(763) 703-3509

NPI assigned

Apr 13, 2023

Sex

Male

Sole proprietor

Yes

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

Enrolled in MN

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

University of North Dakota School of Medicine, 2022

Medicare assignment

May accept Medicare assignment

Group practices

Lund Health Professional Corporation 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Lund Health Professional Corporation

  • Chiropractor
  • Blaine, MN
  • NPI 1194197368

  MN, Single Specialty

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1681344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681344000000",
    "number": "1316633266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1630 101ST AVE NE STE 140",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "554493401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1630 101ST AVE NE STE 140",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "554493401",
            "telephone_number": "763-703-3509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSON",
        "first_name": "JAGAR",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-04-13",
        "last_updated": "2023-04-13",
        "certification_date": "2023-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "12904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Groveland Care LLC
• Laura M Gruber, LMT
• Tiffany S Hall, PA-C
• Michael Thomas Hample, DC
• Stephen J Handler, MD
• Hart Chiropractic P.a.
• Anthony Hart, D.C.
• Richard B Hathaway, PAC
• Abby Hannah Haugrud, PHARM.D.
• Duane Hauri

• All providers in Blaine, MN
• Physical Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2023; 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.