Nicholaus Hansen, DPT
Individual provider Active NPI Physical Therapist · As, OH
NPI 1538579552 · NPPES record last updated Jul 24, 2024
Key facts
- NPI
- 1538579552
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT014130 (OH)
- Practice address
- 1151 Commerce Parkway
Suite E
As, OH 44805-8011 - Phone
- (502) 500-4587
- NPI assigned
- Apr 29, 2014
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Edge Physical Therapy and Wellness LLC | Current |
Accepting new patients |
Locations
1151 Commerce Pkwy
Ste E
Ashland, OH 44805
Phone (502) 500-4587
530 Claremont Ave
Unit 914
Ashland, OH 44805
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT014130 | OH | Yes |
| Physical Therapist | 225100000X | 60519 | OR |
Addresses
Primary practice location
1151 Commerce Parkway
Suite E
As, OH 44805-8011
Mailing address
530 Claremont Ave Unit 914
Ashland, OH 44805-0028
Phone (502) 500-4587
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 24, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.