Kelli Marie Hansen, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2012023610 Issued in MO

Practice address

3955 Summer Forest Dr
Saint Charles, MO 63304-2643

Phone

(636) 448-4404

NPI assigned

Aug 29, 2012

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

Other names 1

• Kelli Marie Orr Former name

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": "1346198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443657600000",
    "number": "1477802999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 BRIDGEPORT TER",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633034850",
            "telephone_number": "636-448-4404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3955 SUMMER FOREST DR",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633042643",
            "telephone_number": "636-448-4404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSEN",
        "first_name": "KELLI",
        "middle_name": "MARIE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-29",
        "last_updated": "2015-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2012023610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLI",
            "last_name": "ORR",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jamie Hammond, LCSW
• John B Hammons, M.D.
• Eric Hamrick, MA, LPC
• Lauren Hanebrink
• Alyssa Haney, CF-SLP
• Suzanne M Hanson, MD
• Royce Hardesty, M.S., LPC
• Sean Michael Hardin, COTA
• Ashley Christine Harding
• Yolanda Hardison, PLPC

• Physical Therapist in Saint Charles, MO
• Providers in Saint Charles, MO by specialty
• Physical Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2015; 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.