Peter Hansen, P.T.
Individual provider Active NPI Physical Therapist · Sparta, WI
NPI 1700939212 · NPPES record last updated May 20, 2019
Key facts
- NPI
- 1700939212
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 9510024 (WI)
- Practice address
- 310 W Main St
Sparta, WI 54656 - Phone
- (608) 785-0940
- NPI assigned
- Jan 19, 2007
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9510024 | WI | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 9510024 | WI | Yes |
Addresses
Primary practice location
310 W Main St
Sparta, WI 54656
Mailing address
PO Box 1510
Eau Claire, WI 54702-1510
Phone (608) 785-0940
Other practice location 1
1050 Division Street
Mauston, WI 53948
Phone (608) 847-6161
Other practice location 2
1050 Division Street
Mauston, WI 53948
Phone (608) 847-6161
Other names
- Pete Hansen
Other providers in Sparta, WI
- Kimberly Hagmann
- Robert Maurice Halverson Jr.
- Hampel Home Health Care
- Douglas A Hansen
- Matthew James Hansen
- Ann C Hanson
- Erin E. Hardy
- Sandra Harper
- Troy Harris
- Hart Serenity Counseling, LLC
All providers in Sparta, WI · Physical Therapist in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 20, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.