Individual provider Active NPI

Michelle Anne Hansen, DPT

  • Physical Therapist
  • Coronado, CA
National Provider Identifier
1689976102
Registry record updated Jun 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
37325 Issued in CA
Practice address
1224 10TH St Ste 204
Coronado, CA 92118-3420
Phone
(619) 437-6450
Fax
(619) 437-6672
NPI assigned
Dec 4, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 37325 CA Primary

Addresses

Primary practice location

1224 10TH St Ste 204
Coronado, CA 92118-3420

Mailing address

1224 10TH St Ste 204
Coronado, CA 92118-3420
Phone (619) 437-6450

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140612002305 CA Practitioner - Physical Therapist in Private Practice 2668696642 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sharp Rees-Stealy Medical Group IncGroup PAC ID 8628972759, 872 clinicians

Practice addresses (Care Compare)

16899 W Bernardo Dr
San Diego, CA 92127-1603
Phone (858) 499-2600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
37325CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Results Rehabilitation, Inc. Physical Therapist CurrentSince Mar 28, 2012 Accepting new patients
Sharp Rees-Stealy Medical Group, Inc CurrentSince Aug 5, 2024 Accepting new patients
Sharp Rees-Stealy Medical Group, Inc CurrentSince Aug 5, 2024 Accepting new patients
Results Rehabilitation Inc Physical Therapist Past Accepting new patients
Sharp Rees-Stealy Medical Center Physical Therapist Past Accepting new patients

Locations

1224 10th St
Ste 204
Coronado, CA 92118
Phone (619) 437-6450

16899 W Bernardo Dr
San Diego, CA 92127
Phone (858) 499-2705

2020 Genesee Ave
San Diego, CA 92123
Phone (619) 268-9500

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1291420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402617600000",
    "number": "1689976102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1224 10TH ST STE 204",
            "city": "CORONADO",
            "state": "CA",
            "postal_code": "921183420",
            "telephone_number": "619-437-6450",
            "fax_number": "619-437-6672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1224 10TH ST STE 204",
            "city": "CORONADO",
            "state": "CA",
            "postal_code": "921183420",
            "telephone_number": "619-437-6450",
            "fax_number": "619-437-6672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSEN",
        "first_name": "MICHELLE",
        "middle_name": "ANNE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-04",
        "last_updated": "2014-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "37325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coronado, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2014; 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.

Verify at the official NPI Registry.