Jill Lynn Hanson, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

5320 W Genesee St
Camillus, NY 13031-2268

Phone

(315) 469-5400

NPI assigned

Apr 9, 2021

Sex

Female

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

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

{
    "created_epoch": "1617926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617926400000",
    "number": "1710567219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 HIGHLAND AVE",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132031623",
            "telephone_number": "317-730-1231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5320 W GENESEE ST",
            "city": "CAMILLUS",
            "state": "NY",
            "postal_code": "130312268",
            "telephone_number": "315-469-5400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7455 Morgan Rd",
            "address_purpose": "LOCATION",
            "city": "Liverpool",
            "state": "NY",
            "postal_code": "130903956",
            "country_code": "US",
            "telephone_number": "315-451-6767",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HANSON",
        "first_name": "JILL",
        "middle_name": "LYNN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-09",
        "last_updated": "2021-04-09",
        "certification_date": "2021-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robin Meredith Greenberg, DPT
• Lori Ann Guereschi, PHARMD
• Kelsey Haeck, MS, RDN
• Naimah Hameed
• Linda Mary Hammond, R.N, B.S.N.
• Konstantinos Christos Hantzidiamantis, MD
• Stephanie Anne Harp, LPN
• Holly Hathway, LPN
• Lisa Hawthorne, A.N.P.
• Paula Lee Heinze, LPN

• Physical Therapist in Camillus, NY
• Providers in Camillus, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2021; 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.