Individual provider Active NPI

Andrew W Hanson, PT, DPT

  • Physical Therapist
  • Houston, TX
National Provider Identifier
1407105000
Registry record updated Aug 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1221901 Issued in TX
Practice address
15311 Vantage Parkway West
Suite 130
Houston, TX 77032
Phone
(281) 442-6861
NPI assigned
Aug 29, 2012
Last updated
Aug 29, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2012

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 1221901 TX Primary

Addresses

Primary practice location

15311 Vantage Parkway West
Suite 130
Houston, TX 77032

Mailing address

15311 Vantage Parkway West
Suite 130
Houston, TX 77032
Phone (281) 442-6861

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160122000230 TX Practitioner - Physical Therapist in Private Practice 7113220344 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3050 Dowlen Rd
Suite L
Beaumont, TX 77706-7285
Phone (409) 861-4606

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1221901TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Physiotherapy Associates Inc CurrentSince Oct 23, 2021 Accepting new patients
Select Physical Therapy Texas Limited Partnership Physical Therapist CurrentSince Dec 1, 2015 Accepting new patients
Physiotherapy Associates Inc CurrentSince Oct 23, 2021 Accepting new patients
Select Physical Therapy Texas Limited Partnership Physical Therapist CurrentSince Dec 1, 2015 Accepting new patients
Physiotherapy Associates Inc Physical Therapist Current Accepting new patients
Select Physical Therapy Texas Limited Partnership Physical Therapist Past Accepting new patients

Locations

3050 Dowlen Rd
Ste L
Beaumont, TX 77706
Phone (409) 861-4606

14700 FM 2100 Rd
Ste 4
Crosby, TX 77532
Phone (281) 328-8346

15311 Vantage Pkwy W
Ste 130
Houston, TX 77032
Phone (281) 442-6861

711 W Bay Area Blvd
Ste 608
Webster, TX 77598
Phone (281) 338-1273

Organizations & group practices 6

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": "1346198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346198400000",
    "number": "1407105000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15311 VANTAGE PARKWAY WEST",
            "address_2": "SUITE 130",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77032",
            "telephone_number": "281-442-6861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15311 VANTAGE PARKWAY WEST",
            "address_2": "SUITE 130",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77032",
            "telephone_number": "281-442-6861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSON",
        "first_name": "ANDREW",
        "middle_name": "W",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-08-29",
        "last_updated": "2012-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1221901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2012; 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.