Candice Morgan Hansen, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

10572-024 Issued in WI

Practice address

327 N 17TH Ave
Suite 7
Wausau, WI 54401-4285

Phone

(715) 845-2942

Fax

(715) 842-3416

NPI assigned

Aug 19, 2008

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

• Mrs. Candice Morgan Rease Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Merrill Physical Therapy Limited Partnership

  • Rehabilitation Clinic/Center
  • Merrill, WI
  • NPI 1033227277
  NPD (past)

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

{
    "created_epoch": "1219104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219104000000",
    "number": "1528215712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "327 N 17TH AVE",
            "address_2": "SUITE 7",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544014285",
            "telephone_number": "715-845-2942",
            "fax_number": "715-842-3416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "327 N 17TH AVE",
            "address_2": "SUITE 7",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544014285",
            "telephone_number": "715-845-2942",
            "fax_number": "715-842-3416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSEN",
        "first_name": "CANDICE",
        "middle_name": "MORGAN",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-19",
        "last_updated": "2008-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "10572-024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CANDICE",
            "last_name": "REASE",
            "middle_name": "MORGAN",
            "prefix": "MRS.",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Nicholas Hanke, CSFA
• Amy Jo Hanneman, RN MSN AGNP
• Wendy L Hanneman, MD
• Hansen Chiropractic Inc
• Bryce Hansen
• Charles John Hansen, MD
• Jerome J Hansen, DDS
• Scott A Hansen, DC
• Tyler David Hansen, DO
• Charles Hanson

• Physical Therapist in Wausau, WI
• Providers in Wausau, WI by specialty
• Physical Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2008; 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.