Karen A Hansen
Individual provider Active NPI Physical Therapist · Anchorage, AK
NPI 1619083888 · NPPES record last updated Jul 9, 2007
Key facts
- NPI
- 1619083888
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 599 (AK)
- Practice address
- 2740 Lake Otis Pkwy
Anchorage, AK 99508-4141 - Phone
- (907) 743-3310
- NPI assigned
- Aug 21, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Chugach Physical Therapy Inc
Practice addresses (Care Compare)
2740 Lake Otis Pkwy
Anchorage, AK 99508-4143
Phone (907) 743-3333
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AK
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101021000759 | AK | Practitioner - Physical Therapist in Private Practice | 8224221338 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 599 | AK | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chugach Physical Therapy Inc | Physical Therapist | Current |
Accepting new patients |
Locations
2740 Lake Otis Pkwy
Anchorage, AK 99508
Phone (907) 743-3310
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 599 | AK | Yes |
Addresses
Primary practice location
2740 Lake Otis Pkwy
Anchorage, AK 99508-4141
Mailing address
12821 Troy St
Anchorage, AK 99515-3873
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PT0599 | Medicaid | AK |
Other providers in Anchorage, AK
- Susan Song Hannula
- Marilyn Hansen-Larson
- Cortney Hansen
- Cory Hansen
- Kaleigh Hansen
- Karl R Hansen
- Kristin Hansen
- Melinda M Hansen
- Michael L Hansen
- Shannon Hansen
All providers in Anchorage, AK · Physical Therapist in Alaska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.