Active NPI
Kevin J Hansen, PT
- Physical Therapist
- Bellevue, WA
National Provider Identifier
1619085529
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT00005073
- Practice address
- 14850 Lake Hills Blvd
Bellevue, WA 98007-5800 - Phone
- (425) 957-4500
- Fax
- (425) 957-4600
- NPI assigned
- Aug 29, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT00005073 | WA | Primary |
Addresses
Primary practice location
14850 Lake Hills Blvd
Bellevue, WA 98007-5800
Mailing address
14850 Lake Hills Blvd
Bellevue, WA 98007-5800
Phone (425) 957-4500
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4286018 | Other | WA | AETNA |
| 40180 | Other | WA | L & I |
| 7081425 | Medicaid | WA | |
| HA1632 | Other | WA | BLUE CROSS/BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
14850 Lake Hills Blvd
Bellevue, WA 98007-5800
Phone (425) 957-4500
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT00005073 | WA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hansen Therapeutic Services, Inc. | Physical Therapist | Current | Accepting new patients |
Locations
14850 Lake Hills Blvd
Bellevue, WA 98007
Phone (425) 957-4500
14850 Lake Hills Blvd
Ste B1
Bellevue, WA 98007
Phone (425) 457-4500
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 and National Provider Directory roles.
-
- Physical Therapist
- Bellevue, WA
- NPI 1447373915
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1619085529",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14850 LAKE HILLS BLVD",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980075800",
"telephone_number": "425-957-4500",
"fax_number": "425-957-4600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14850 LAKE HILLS BLVD",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980075800",
"telephone_number": "425-957-4500",
"fax_number": "425-957-4600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANSEN",
"first_name": "KEVIN",
"middle_name": "J",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT00005073",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4286018",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L & I",
"identifier": "40180",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7081425",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD",
"identifier": "HA1632",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bellevue, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.