Organization Active NPI

Hansen Physical Therapy PLLC

  • Physical Therapy Clinic/Center
  • South Burlington, VT
National Provider Identifier
1457975229
Registry record updated Jul 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
HANSEN PHYSICAL THERAPY PLLC
Practice address
1 Kennedy Dr # U3-4
South Burlington, VT 05403-7152
Phone
(802) 863-3323
Fax
(802) 863-3288
NPI assigned
Jun 8, 2020
Last updated
Jul 8, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2020

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

Authorized official

Name
Heidi Jane Hansen, DPTNPI 1669096806
Title
Physical Therapist
Phone
(773) 808-8788

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X NU Primary

Addresses

Primary practice location

1 Kennedy Dr # U3-4
South Burlington, VT 05403-7152

Mailing address

136 N Prospect St
Burlington, VT 05401-3347
Phone (773) 808-8788

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200828002129 VT Part B Supplier - Physical/Occupational Therapy Group in Private Practice 5799102299 Receives reassigned benefits from 1 practitioner
Practice locations: South Burlington, VT

National Provider Directory

National Provider Directory

Locations

1 Kennedy Dr
#U34
South Burlington, VT 05403
Phone (802) 338-2901

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1591574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594166400000",
    "number": "1457975229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 N PROSPECT ST",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054013347",
            "telephone_number": "773-808-8788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 KENNEDY DR # U3-4",
            "city": "SOUTH BURLINGTON",
            "state": "VT",
            "postal_code": "054037152",
            "telephone_number": "802-863-3323",
            "fax_number": "802-863-3288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANSEN PHYSICAL THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-08",
        "last_updated": "2020-07-08",
        "certification_date": "2020-07-08",
        "status": "A",
        "authorized_official_last_name": "HANSEN",
        "authorized_official_first_name": "HEIDI",
        "authorized_official_middle_name": "JANE",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "773-808-8788",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Burlington, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.