Individual provider Active NPI

Don H Hansen, MPT

  • Physical Therapist
  • Draper, UT
National Provider Identifier
1326253204
Registry record updated Mar 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
121969-2401 Issued in UT
Practice address
11760 S 700 E
Ste 211
Draper, UT 84020-6605
Phone
(801) 432-2200
Fax
(801) 432-2202
NPI assigned
May 13, 2007
Last updated
Mar 29, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 29, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 121969-2401 UT Primary

Addresses

Primary practice location

11760 S 700 E
Ste 211
Draper, UT 84020-6605

Mailing address

11760 S 700 E
Ste 211
Draper, UT 84020-6605
Phone (801) 432-2200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031106000234 UT Practitioner - Physical Therapist in Private Practice 1850204918 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

11760 S 700
Suite 211
Draper, UT 84020-6605
Phone (801) 432-2200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
121969-2401UTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Don H. Hansen Physical Therapy, PC Physical Therapist CurrentSince Jan 23, 2003 Accepting new patients

Locations

11760 S 700 E
Ste 112
Draper, UT 84020
Phone (801) 572-1186

11760 S 700 E
Ste 211
Draper, UT 84020
Phone (801) 432-2200

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1179014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522281600000",
    "number": "1326253204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11760 S 700 E",
            "address_2": "STE 211",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840206605",
            "telephone_number": "801-432-2200",
            "fax_number": "801-432-2202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11760 S 700 E",
            "address_2": "STE 211",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840206605",
            "telephone_number": "801-432-2200",
            "fax_number": "801-432-2202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSEN",
        "first_name": "DON",
        "middle_name": "H",
        "credential": "MPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-13",
        "last_updated": "2018-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "UT",
            "license": "121969-2401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Draper, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2018; 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.