Active NPI
Christian Carl Hansen, OTR/L
- Occupational Therapist
- Brooklyn, NY
National Provider Identifier
1356663447
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 011858
- Practice address
- 445 3Rd Ave
Apt 4R
Brooklyn, NY 11215-3127 - Phone
- (917) 518-3946
- NPI assigned
- Feb 17, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 011858 | NY | Primary |
Addresses
Primary practice location
445 3Rd Ave
Apt 4R
Brooklyn, NY 11215-3127
Mailing address
445 3Rd Ave
Apt 4R
Brooklyn, NY 11215-3127
Phone (917) 518-3946
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 011858 | NY | MD | Mental Health Counselor |
| 011585 | NY | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1266364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1266364800000",
"number": "1356663447",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "445 3RD AVE",
"address_2": "APT 4R",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112153127",
"telephone_number": "917-518-3946"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "445 3RD AVE",
"address_2": "APT 4R",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112153127",
"telephone_number": "917-518-3946"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANSEN",
"first_name": "CHRISTIAN",
"middle_name": "CARL",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-02-17",
"last_updated": "2010-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "011858",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.