Rachel Beth Hanson, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2010028610 Issued in MO

Practice address

100 E Davis St
Fayette, MO 65248-1405

Phone

(660) 248-3053

Fax

(660) 248-2682

NPI assigned

Dec 22, 2011

Last updated

Mar 18, 2015By the provider in NPPES

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

• Rachel Beth Stockdale Former name

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Boone Physician Services LLCGroup PAC ID 6507090644, 243 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Boone Physician Services, LLC

  • Multi-Specialty Clinic/Center
  • Columbia, MO
  • NPI 1760893259
  Medicare reassignment Care Compare group NPD
• Central Missouri Physical Therapy LLC

  dba Peak Sport and Spine

  • Physical Therapist
  • Columbia, MO
  • NPI 1558436592
  Medicare reassignment NPD
• BDM Associates LLC

  dba Peak Performance Physical Therapy & Sports Medicine

  • Physical Therapist
  • Columbia, MO
  • NPI 1801847033
  NPD (past)

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

{
    "created_epoch": "1324512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426636800000",
    "number": "1548539414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 BERRYWOOD DR",
            "address_2": "SUITE 204",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652016517",
            "telephone_number": "573-449-6082",
            "fax_number": "573-449-0401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E DAVIS ST",
            "city": "FAYETTE",
            "state": "MO",
            "postal_code": "652481405",
            "telephone_number": "660-248-3053",
            "fax_number": "660-248-2682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSON",
        "first_name": "RACHEL",
        "middle_name": "BETH",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-22",
        "last_updated": "2015-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2010028610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHEL",
            "last_name": "STOCKDALE",
            "middle_name": "BETH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• David W Fortel, LPC
• Kevin Gary Frazer, M.D.
• Dallas Garrison, DO
• Mary Gunter Gaub, PT
• Hank Ventures Inc. (The Lodge)
• Randa Samantha Hart, LAT, ATC
• Health Care Consultants of Mid Missouri, Inc. (Maplelawn Residential Care Facility)
• Sarah Henderson, RN, LCSW
• Zach G Hentges
• Nathan Reed Hepner, LPC

• Physical Therapist in Fayette, MO
• Providers in Fayette, MO by specialty
• Physical Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2015; 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.

Verify at the official NPI Registry.