Active NPI
Hanna Hanson, PT, DPT
- Neurology Physical Therapist
- Boise, ID
National Provider Identifier
1427768100
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physical Therapist
- License
- PT-8473
- Practice address
- 717 N Liberty St
Boise, ID 83704-9342 - Phone
- (208) 367-8989
- NPI assigned
- Dec 2, 2022
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Neurology Physical Therapist | 2251N0400X | PT-8473 | ID | Primary |
Addresses
Primary practice location
717 N Liberty St
Boise, ID 83704-9342
Mailing address
717 N Liberty St
Boise, ID 83704-9342
Phone (208) 367-8989
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PT61326728 | Other | WA | WASHINGTON PHYSICAL THERAPY LICENSE |
| PT-8473 | Other | ID | IDAHO PHYSICAL THERAPY LICENSE |
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 |
|---|---|---|---|
| PT-8473 | ID | MD | Neurology Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1669939200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669939200000",
"number": "1427768100",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "717 N LIBERTY ST",
"city": "BOISE",
"state": "ID",
"postal_code": "837049342",
"telephone_number": "208-367-8989"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "717 N LIBERTY ST",
"city": "BOISE",
"state": "ID",
"postal_code": "837049342",
"telephone_number": "208-367-8989"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANSON",
"first_name": "HANNA",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-12-02",
"last_updated": "2022-12-02",
"certification_date": "2022-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "2251N0400X",
"taxonomy_group": "",
"desc": "Physical Therapist, Neurology",
"state": "ID",
"license": "PT-8473",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WASHINGTON PHYSICAL THERAPY LICENSE",
"identifier": "PT61326728",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IDAHO PHYSICAL THERAPY LICENSE",
"identifier": "PT-8473",
"state": "ID"
}
],
"endpoints": [],
"other_names": []
}Other providers in Boise, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 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.