Wendy R Hansen, PTA, EMT-B

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

926 Issued in NE

Practice address

823 M St
Tekamah, NE 68061-1427

Phone

(402) 374-1414

Fax

(402) 374-1601

NPI assigned

Aug 2, 2011

Last updated

Aug 2, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1312243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312243200000",
    "number": "1710265186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 DIAMOND ST",
            "city": "ONAWA",
            "state": "IA",
            "postal_code": "510401929",
            "telephone_number": "712-423-1620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "823 M ST",
            "city": "TEKAMAH",
            "state": "NE",
            "postal_code": "680611427",
            "telephone_number": "402-374-1414",
            "fax_number": "402-374-1601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSEN",
        "first_name": "WENDY",
        "middle_name": "R",
        "credential": "PTA, EMT-B",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-02",
        "last_updated": "2011-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146N00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Basic",
            "state": "IA",
            "license": "B-12-229-11",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NE",
            "license": "926",
            "primary": true
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "IA",
            "license": "00646",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• County of Burt School District 1 (Tekamah-Herman Schools)
• Debra Jean Dunn
• Rebecca L Guzinski, PA-C
• Rachel Hadden
• Amber Joy Hansen, P.A.
• Genevieve Judt
• Kimberly Kaye Kegler
• Katie Krause
• Mary Frances Krause, OTR
• Lisa Mutzenberger

• Physical Therapy Assistant in Tekamah, NE
• Providers in Tekamah, NE by specialty
• Physical Therapy Assistant in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2011; 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.