Bethany Lynn Hanson, OTD, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

092675 Issued in IA

Practice address

2524 Glenn Ave
Sioux City, IA 51106-2768

Phone

(712) 226-2254

NPI assigned

Jul 30, 2018

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

Enrolled in SD

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Minds Matter PLLCGroup PAC ID 3870959042, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Minds Matter PLLC

  • Speech-Language Pathologist
  • Bath, SD
  • NPI 1518655240
  Medicare reassignment Care Compare group NPD
• Children'S Care Hospital and School Dba Lifescape

  • Occupational Therapist
  • Sioux City, IA
  • NPI 1114256161
  NPD (past)
• Children'S Care Hospital and School

  • Rehabilitation Clinic/Center
  • Rapid City, SD
  • NPI 1174722169
  NPD (past)

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

{
    "created_epoch": "1532908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532908800000",
    "number": "1477031789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 CARR ST",
            "city": "VERMILLION",
            "state": "SD",
            "postal_code": "570691901",
            "telephone_number": "605-216-0357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2524 GLENN AVE",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511062768",
            "telephone_number": "712-226-2254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSON",
        "first_name": "BETHANY",
        "middle_name": "LYNN",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-30",
        "last_updated": "2018-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IA",
            "license": "092675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gentry Michael Hansen, DMD, MD
• Gracie Taylor Hansen, PHD
• Kristi Jo Hansen, P.A.
• Melissa Hansen, PHARMD
• Christine Anne Hanson-Harder, OTR/L
• Kristin Hanson
• Ramona L Hanson, PT
• Glen Harden, M.D.
• Michael D. Harder, D.O.
• Kelsey Jean Hardnett

• Occupational Therapist in Sioux City, IA
• Providers in Sioux City, IA by specialty
• Occupational Therapist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.