Organization Active NPI

Hansen Therapeutic Services, Inc.

  • Physical Therapist
  • Bellevue, WA
National Provider Identifier
1447373915
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT00005073 Issued in WA
Legal business name
HANSEN THERAPEUTIC SERVICES, INC.
Practice address
14850 Lake Hills Blvd
Bellevue, WA 98007-5800
Phone
(425) 957-4500
Fax
(425) 957-4500
NPI assigned
Apr 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Victoria A Hansen
Title
Manager
Phone
(425) 957-4500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X PT00005073 WA Primary

Addresses

Primary practice location

14850 Lake Hills Blvd
Bellevue, WA 98007-5800

Mailing address

14850 Lake Hills Blvd
Bellevue, WA 98007-5800
Phone (425) 957-4500

Other identifiers 1

IdentifierTypeStateIssuer
7081425MedicaidWA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120502000419 WA Part B Supplier - Clinic/Group Practice 8325200686 Receives reassigned benefits from 1 practitioner
Practice locations: Bellevue, WA

National Provider Directory

National Provider Directory

Locations

14850 Lake Hills Blvd
Bellevue, WA 98007
Phone (425) 957-4500

14850 Lake Hills Blvd
Ste B1
Bellevue, WA 98007
Phone (425) 457-4500

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1447373915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14850 LAKE HILLS BLVD",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980075800",
            "telephone_number": "425-957-4500",
            "fax_number": "425-957-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14850 LAKE HILLS BLVD",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980075800",
            "telephone_number": "425-957-4500",
            "fax_number": "425-957-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANSEN THERAPEUTIC SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HANSEN",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "425-957-4500",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00005073",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7081425",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.