Active NPI
Kirk Alan Hanson, PT
- Physical Therapist
- Helena, MT
National Provider Identifier
1386758191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 235PT
- Practice address
- 2615 Colonial Dr
Helena, MT 59601-4910 - Phone
- (406) 443-5555
- Fax
- (406) 443-5544
- NPI assigned
- Aug 18, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 235PT | MT | Primary |
Addresses
Primary practice location
2615 Colonial Dr
Helena, MT 59601-4910
Mailing address
2615 Colonial Dr
Helena, MT 59601-4910
Phone (406) 443-5555
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 340314 | Medicaid | MT | |
| 03001377 | Other | MT | STATE FUND |
| 61665 | Other | MT | BCBS OF MT |
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 |
|---|---|---|---|
| 235PT | MT | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155859200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1243987200000",
"number": "1386758191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2615 COLONIAL DR",
"city": "HELENA",
"state": "MT",
"postal_code": "596014910",
"telephone_number": "406-443-5555",
"fax_number": "406-443-5544"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2615 COLONIAL DR",
"city": "HELENA",
"state": "MT",
"postal_code": "596014910",
"telephone_number": "406-443-5555",
"fax_number": "406-443-5544"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANSON",
"first_name": "KIRK",
"middle_name": "ALAN",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-18",
"last_updated": "2009-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MT",
"license": "235PT",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "340314",
"state": "MT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE FUND",
"identifier": "03001377",
"state": "MT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF MT",
"identifier": "61665",
"state": "MT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Helena, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.