Individual provider Active NPI

Hans A Karlsson, PT

  • Physical Therapist
  • Santa Rosa, CA
National Provider Identifier
1538227780
Registry record updated Feb 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
38078 Issued in CA
Practice address
808 Donahue St
Santa Rosa, CA 95401-5434
Phone
(602) 361-9986
Fax
(707) 541-6721
NPI assigned
Dec 4, 2006
Last updated
Feb 3, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 38078 CA Primary

Addresses

Primary practice location

808 Donahue St
Santa Rosa, CA 95401-5434

Mailing address

808 Donahue St
Santa Rosa, CA 95401-5434
Phone (602) 361-9986

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
38078CAMDPhysical Therapist
5492AZMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Gavilan Peak Physical Therapy Physical Therapist PastSince Nov 16, 2002 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738540800000",
    "number": "1538227780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "808 DONAHUE ST",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954015434",
            "telephone_number": "602-361-9986",
            "fax_number": "707-541-6721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 DONAHUE ST",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954015434",
            "telephone_number": "602-361-9986",
            "fax_number": "707-541-6721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARLSSON",
        "first_name": "HANS",
        "middle_name": "A",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-04",
        "last_updated": "2025-02-03",
        "certification_date": "2025-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "38078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Rosa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2025; 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.