Steven Hansen

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

056008307 Issued in IL

Practice address

2338 W Van Winkle Way Ste 3100
Peoria, IL 61615-7483

Phone

(309) 693-9189

NPI assigned

Jan 4, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1515024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1497262174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 NE MADISON AVE",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616021109",
            "telephone_number": "309-674-7874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2338 W VAN WINKLE WAY STE 3100",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616157483",
            "telephone_number": "309-693-9189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSEN",
        "first_name": "STEVEN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-01-04",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056008307",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROFESSIONAL LICENSE",
            "identifier": "056008307",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eyad Michael Hanna, MD
• Nicole Tony Hanna, OD
• Vaughn Hanna, MD
• Reid H. Hansen, M.D.
• Sheila B Hansen, CRNA
• Martin R Hanson, LCPC
• Matthew Dean Hanson, MD
• Zachary Hanson
• Anwarul Haque, MD
• Kashif S. Haque, M.D.

• Occupational Therapist in Peoria, IL
• Providers in Peoria, IL by specialty
• Occupational Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.