Active NPI
Allison Hansen, DPT
- Physical Therapist
- Park City, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 12312677-2401
- Practice address
- 1122 Center Dr Ste D350
Park City, UT 84098-6908 - Phone
- (435) 383-2026
- NPI assigned
- Jun 14, 2021
- Last updated
- Jun 14, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 12312677-2401 | UT | Primary |
Addresses
Primary practice location
1122 Center Dr Ste D350
Park City, UT 84098-6908
Mailing address
PO Box 711185
Salt Lake City, UT 84171-1185
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- University of Utah School of Medicine, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5316 S Woodrow St
Suite 100
Murray, UT 84107-5331
Phone (801) 261-9255
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12312677-2401 | UT | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Registered Physical Therapists LLC | Current | Accepting new patients | |
| Mountain Land Rehabilitation LLC | Physical Therapist | Past | Accepting new patients |
Locations
5316 S Woodrow St
Ste 100
Murray, UT 84107
Phone (801) 261-9255
9844 S 1300 E
Ste 300
Sandy, UT 84094
Phone (801) 572-0690
1577 W 7000 S
Ste 100
West Jordan, UT 84084
Phone (801) 566-6301
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- Sandy, UT
- NPI 1477582633
-
- Physical Therapist
- Salt Lake City, UT
- NPI 1265549372
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623628800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623628800000",
"number": "1508434994",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 711185",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841711185"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1122 CENTER DR STE D350",
"city": "PARK CITY",
"state": "UT",
"postal_code": "840986908",
"telephone_number": "435-383-2026"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANSEN",
"first_name": "ALLISON",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-14",
"last_updated": "2021-06-14",
"certification_date": "2021-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "UT",
"license": "12312677-2401",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Park City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2021; 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.