Erica Aimee Hansen, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

A2449 Issued in MN

Practice address

4461 White Bear Pkwy Ste 1
White Bear Lake, MN 55110-7626

Phone

(651) 645-4540

NPI assigned

Nov 5, 2019

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1572912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572912000000",
    "number": "1467096123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2622 ULYSSES ST NE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554183048",
            "telephone_number": "651-408-5669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4461 WHITE BEAR PKWY STE 1",
            "city": "WHITE BEAR LAKE",
            "state": "MN",
            "postal_code": "551107626",
            "telephone_number": "651-645-4540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSEN",
        "first_name": "ERICA",
        "middle_name": "AIMEE",
        "name_prefix": "Mrs.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-05",
        "last_updated": "2019-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MN",
            "license": "A2449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nohemi Isabel Haben, PA-C
• Laura Christine Hafemeyer, PT
• Matthew Hall, PH.D., LP
• David Phillip Halper, MA
• John P Hamerly, MD
• Amber Lea Hanson, LN
• Ashton Carter Hardell
• Harmony Care, Inc
• Jeanne Marie Hartle
• Samiyo Abdiaziz Hassan

• Physical Therapy Assistant in White Bear Lake, MN
• Providers in White Bear Lake, MN by specialty
• Physical Therapy Assistant in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2019; 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.