Individual provider Active NPI

Christopher J Hansen, D.P.T.

  • Physical Therapist
  • Boise, ID
National Provider Identifier
1346533478
Registry record updated Dec 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT-2832 Issued in ID
Practice address
1188 W University Dr
Boise, ID 83706-3009
Phone
(208) 336-8250
Fax
(208) 345-9514
NPI assigned
May 23, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2025

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 PT-2832 ID Primary

Addresses

Primary practice location

1188 W University Dr
Boise, ID 83706-3009

Mailing address

1188 W University Dr
Boise, ID 83706-3009
Phone (208) 336-8250

Other practice location 1

3754 W Bedrock Dr
Meridian, ID 83646-9027
Phone (208) 760-9988

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110621000380 ID Practitioner - Physical Therapist in Private Practice 2163600222 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Idaho Sports Medicine Institute PAGroup PAC ID 1759278765, 12 clinicians

Practice addresses (Care Compare)

1188 W University Dr
Boise, ID 83706-3009
Phone (208) 336-8250

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT-2832IDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain Home Physical Therapy, PC PastSince Feb 1, 2000 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1306108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766966400000",
    "number": "1346533478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1188 W UNIVERSITY DR",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837063009",
            "telephone_number": "208-336-8250",
            "fax_number": "208-345-9514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1188 W UNIVERSITY DR",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837063009",
            "telephone_number": "208-336-8250",
            "fax_number": "208-345-9514"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3754 W Bedrock Dr",
            "address_purpose": "LOCATION",
            "city": "Meridian",
            "state": "ID",
            "postal_code": "836469027",
            "country_code": "US",
            "telephone_number": "208-760-9988",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HANSEN",
        "first_name": "CHRISTOPHER",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-23",
        "last_updated": "2025-12-29",
        "certification_date": "2025-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "PT-2832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2025; 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.