David Hanson, LMT

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

10975491-4810 Issued in UT

Practice address

6112 S 1550 E Ste 203
South Ogden, UT 84405-5010

Phone

(801) 897-8711

Fax

(385) 333-7202

NPI assigned

Jul 13, 2020

Last updated

Jul 28, 2020By the provider in NPPES

Sex

Male

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

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Structura Body Therapies, LLC

  • Specialist
  • South Ogden, UT
  • NPI 1124401443
  NPD

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

{
    "created_epoch": "1594598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595894400000",
    "number": "1679191910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6112 S 1550 E STE 203",
            "city": "SOUTH OGDEN",
            "state": "UT",
            "postal_code": "844055010",
            "telephone_number": "801-897-8711",
            "fax_number": "385-333-7202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6112 S 1550 E STE 203",
            "city": "SOUTH OGDEN",
            "state": "UT",
            "postal_code": "844055010",
            "telephone_number": "801-897-8711",
            "fax_number": "385-333-7202"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "307 N 300 W Ste 301",
            "address_purpose": "LOCATION",
            "city": "Kaysville",
            "state": "UT",
            "postal_code": "840371852",
            "country_code": "US",
            "telephone_number": "801-452-8007",
            "fax_number": "385-333-7202",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HANSON",
        "first_name": "DAVID",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-13",
        "last_updated": "2020-07-28",
        "certification_date": "2020-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "UT",
            "license": "10975491-4810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Hales, ACMHC
• Richard G Hall, M.D.
• Hanger Prosthetics & Orthotics, Inc. (Hanger Clinic)
• Daniel Joseph Hansen, DO
• Jason R Hansen, D.D.S.
• Taylor Harper, RBT
• Arla Ranae Harris
• Priscilla Melena Hart
• Amy Haslam, BCBA
• Madison Ann Hauck

• Athletic Trainer in South Ogden, UT
• Providers in South Ogden, UT by specialty
• Athletic Trainer in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2020; 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.