Stephanie Ann Hansen, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PTL.0011758 Issued in CO

Practice address

1260 E 1St Ave
Broomfield, CO 80020-3792

Phone

(720) 716-4518

NPI assigned

Aug 14, 2012

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Peak Form LLC

  • Occupational Medicine Physician
  • Wheat Ridge, CO
  • NPI 1174441703
  NPD (past)
• Peak Form LLC

  • Physical Medicine & Rehabilitation Physician
  • Broomfield, CO
  • NPI 1831863117

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1344902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768003200000",
    "number": "1659628105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1260 E 1ST AVE UNIT A",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800203792",
            "telephone_number": "303-655-9005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1260 E 1ST AVE",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800203792",
            "telephone_number": "720-716-4518"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1093 E Bridge St",
            "address_purpose": "LOCATION",
            "city": "Brighton",
            "state": "CO",
            "postal_code": "806012252",
            "country_code": "US",
            "telephone_number": "303-655-9005",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "695 S Broadway St",
            "address_purpose": "LOCATION",
            "city": "Boulder",
            "state": "CO",
            "postal_code": "803055969",
            "country_code": "US",
            "telephone_number": "303-402-9283",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8225 W 20th St",
            "address_purpose": "LOCATION",
            "city": "Greeley",
            "state": "CO",
            "postal_code": "806343037",
            "country_code": "US",
            "telephone_number": "303-655-9005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HANSEN",
        "first_name": "STEPHANIE",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-14",
        "last_updated": "2026-01-10",
        "certification_date": "2026-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL.0011758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leslie Hannon, PSY.D.
• Angela Marie Hansen, M.A. CCC-SLP
• Jaime Hansen
• Joy U Hansen, OD
• Rachel Hansen
• Mackenzie Ashlyn Hardt
• Harlie'S Haven PLLC
• Sounantha Sayavongsa Harney
• Margaret S Harper, PT
• William Harr, PT

• Physical Therapist in Broomfield, CO
• Providers in Broomfield, CO by specialty
• Physical Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2026; 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.