Cheryl A Hanson, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2467-024 Issued in WI

Practice address

3208 E River Dr
Inspirit Therapy Associates
Green Bay, WI 54301-1410

Phone

(920) 338-9670

Fax

(920) 338-9680

NPI assigned

Jul 27, 2006

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 identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524441600000",
    "number": "1629082797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "744 S WEBSTER AVE",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543013505",
            "telephone_number": "920-338-9670",
            "fax_number": "920-338-9680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3208 E RIVER DR",
            "address_2": "INSPIRIT THERAPY ASSOCIATES",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543011410",
            "telephone_number": "920-338-9670",
            "fax_number": "920-338-9680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSON",
        "first_name": "CHERYL",
        "middle_name": "A",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-27",
        "last_updated": "2018-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "2467-024",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40137100",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicole E Hansen, APNP
• Thomas Brian Hanseter, O.D.
• Angela Marie Hanson, M.S., CCC-SLP
• Brian Hanson, ATC
• Chase Hanson, DPT
• Jenna Mae Hanson, PA-C
• Kelsey Hanson
• Mark H Hanson, DDS MS
• Meghan E. Hanson, M.D.
• Rebecca Busch Hanson, LPC

• Physical Therapist in Green Bay, WI
• Providers in Green Bay, WI by specialty
• Physical Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2018; 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.