Karissa Hanson, MA, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

105199 Issued in MN

Practice address

6500 Excelsior Blvd
St Louis Park, MN 55426

Phone

(952) 883-6212

NPI assigned

Oct 28, 2016

Sex

Female

Sole proprietor

Yes

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

Enrolled in MN

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

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 and National Provider Directory roles.

• Olea Therapy

  • Speech-Language Pathologist
  • New Hope, MN
  • NPI 1619559846
  Medicare reassignment
• Avera Marshall

  • Critical Access Hospital
  • Marshall, MN
  • NPI 1568401016
  NPD

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

{
    "created_epoch": "1477612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477612800000",
    "number": "1659823383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "438 MADISON ST NE",
            "address_2": "#2",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554132122",
            "telephone_number": "952-393-1666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6500 EXCELSIOR BLVD",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "55426",
            "telephone_number": "952-883-6212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSON",
        "first_name": "KARISSA",
        "credential": "MA, OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-28",
        "last_updated": "2016-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MN",
            "license": "105199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carl Richard Hansen II, M.D.
• Jennifer Nicole Sherry Hansen, DNP, CNM
• Jill Hansen, MA, LMFT
• Lisa Hansen
• Maureen Hansen, PHYSICIAN ASSISTANT
• Philip Hanson, CMT
• Sandra K Hanson, MD
• Susan M Hanson, RD
• Happy MFT LLC
• Jillian Hardesty, OTR/L

• Occupational Therapist in St Louis Park, MN
• Providers in St Louis Park, MN by specialty
• Occupational Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.