Active NPI
Carla Denise Hansen, PT
- Physical Therapist
- Fishersville, VA
National Provider Identifier
1417292525
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2305005921
- Practice address
- 100 Emerald Hill Dr
Fishersville, VA 22939-2046 - Phone
- (540) 932-1781
- NPI assigned
- Nov 29, 2012
- Last updated
- Nov 29, 2012
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2305005921 | VA | Primary |
Addresses
Primary practice location
100 Emerald Hill Dr
Fishersville, VA 22939-2046
Mailing address
100 Emerald Hill Dr
Fishersville, VA 22939-2046
Phone (540) 932-1781
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2305005921 | VA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1354147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1354147200000",
"number": "1417292525",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 EMERALD HILL DR",
"city": "FISHERSVILLE",
"state": "VA",
"postal_code": "229392046",
"telephone_number": "540-932-1781"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 EMERALD HILL DR",
"city": "FISHERSVILLE",
"state": "VA",
"postal_code": "229392046",
"telephone_number": "540-932-1781"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANSEN",
"first_name": "CARLA",
"middle_name": "DENISE",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-11-29",
"last_updated": "2012-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305005921",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fishersville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.