Claire Ellen Hansen, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

1538-19 Issued in WI

Practice address

3415 Sheridan Rd.
Woodstock
Kenosha, WI 53140-1924

Phone

(262) 657-6175

NPI assigned

Oct 10, 2008

Sex

Female

Sole proprietor

Yes

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1223596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223596800000",
    "number": "1447401245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5240 64TH AVENUE",
            "address_2": "APARTMENT #8",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531443746",
            "telephone_number": "262-496-1602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3415 SHERIDAN RD.",
            "address_2": "WOODSTOCK",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531401924",
            "telephone_number": "262-657-6175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSEN",
        "first_name": "CLAIRE",
        "middle_name": "ELLEN",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-10",
        "last_updated": "2008-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WI",
            "license": "1538-19",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hanger Prosthetics & Orthotics East, Inc.
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• Mariam G Hanna, MD
• Patrick Hanna
• Dawn Marie Hannon, PTA
• Linda K Hansen, M.D.
• Ellen Hanzalik-Meo, LCSW
• Harbor Shore Wellness PLLC
• Harborside Eye Care LLC
• Allison Elizabeth Hardin, PA-C

• Physical Therapy Assistant in Kenosha, WI
• Providers in Kenosha, WI by specialty
• Physical Therapy Assistant in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2008; 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.