Active NPI
Heather Lynn Hanson, PT, DPT, PCS
- Physical Therapist
- Rochester, NY
National Provider Identifier
1700219425
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 035966
- Practice address
- 55 Branch Ave
Rochester, NY 14618-4309 - Phone
- (617) 571-0911
- NPI assigned
- Aug 16, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT018392 | PA | |
| Physical Therapist | 225100000X | J1-0002616 | DE | |
| Physical Therapist | 225100000X | 40QA01295500 | NJ | |
| Physical Therapist | 225100000X | 035966 | NY | Primary |
Addresses
Primary practice location
55 Branch Ave
Rochester, NY 14618-4309
Mailing address
55 Branch Ave
Rochester, NY 14618-4309
Phone (617) 571-0911
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 035966 | NY | MD | Social Worker |
| J1-0002616 | DE | MD | Physical Therapist |
| 40QA01295500 | NJ | MD | Physical Therapist |
| PT018392 | PA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1376611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1648598400000",
"number": "1700219425",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 BRANCH AVE",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146184309",
"telephone_number": "617-571-0911"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 BRANCH AVE",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146184309",
"telephone_number": "617-571-0911"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANSON",
"first_name": "HEATHER",
"middle_name": "LYNN",
"credential": "PT, DPT, PCS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-08-16",
"last_updated": "2022-03-30",
"certification_date": "2022-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT018392",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "DE",
"license": "J1-0002616",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA01295500",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "035966",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rochester, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.