Kimberly Hanson, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

1110 7TH Ave
Cumberland, WI 54829-9138

Phone

(715) 822-7200

Fax

(715) 822-7221

NPI assigned

Aug 18, 2021

Last updated

Aug 18, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1629244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629244800000",
    "number": "1417623638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 7TH AVE",
            "city": "CUMBERLAND",
            "state": "WI",
            "postal_code": "548299138",
            "telephone_number": "715-822-7200",
            "fax_number": "715-822-7221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 7TH AVE",
            "city": "CUMBERLAND",
            "state": "WI",
            "postal_code": "548299138",
            "telephone_number": "715-822-7200",
            "fax_number": "715-822-7221"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "632 US Highway 8 W",
            "address_purpose": "LOCATION",
            "city": "Turtle Lake",
            "state": "WI",
            "postal_code": "548894411",
            "country_code": "US",
            "telephone_number": "715-986-2022",
            "fax_number": "715-822-7221",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HANSON",
        "first_name": "KIMBERLY",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-18",
        "last_updated": "2021-08-18",
        "certification_date": "2021-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jodi Lynne Griffith, DC
• Faith A. Gustafson, PA-C
• Thomas Hallgren
• Deborah Ann Hallingstad
• Karn Hanson, MS, LAT
• Kiersten Haugerud
• Ann Hay
• Karen Nague Heaney, P.T.
• Gary Allen Hendricks, D.D.S.
• Dustin Hetke, O.D.

• Physical Therapist in Cumberland, WI
• Providers in Cumberland, WI by specialty
• Physical Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2021; 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.