Katie Hansen

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

Practice address

1170 Folly Rd
Charleston, SC 29412-4114

Phone

(843) 822-2292

Fax

(888) 588-3421

NPI assigned

Mar 28, 2022

Last updated

Mar 28, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1648425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648425600000",
    "number": "1396495727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 PROMENADE VISTA ST APT 2136",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294125116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1170 FOLLY RD",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294124114",
            "telephone_number": "843-822-2292",
            "fax_number": "888-588-3421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSEN",
        "first_name": "KATIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-28",
        "last_updated": "2022-03-28",
        "certification_date": "2022-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "SC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1497159446",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.app.fusionwebclinic.com",
            "affiliation": "N",
            "endpointDescription": "EMR",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Fusion EMR",
            "address_1": "1170 Folly Rd",
            "city": "Charleston",
            "state": "SC",
            "country_code": "US",
            "postal_code": "294124114",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Alison Bernadette Hanno
• Carolyn Hans, NURSE PRACTITIONER
• Rhea Hans
• Brooke Hansen, DPT
• Erik James Hansen, MD
• Mark Christopher Hansen, MD
• Shannon Keenan Hansen, AGACNP-BC
• Stefan Charles Hansen, MD
• Drew Hanson
• Kimberly S Hanson, LPC

• Pediatric Occupational Therapist in Charleston, SC
• Providers in Charleston, SC by specialty
• Pediatric Occupational Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.