Individual provider Active NPI

Jonathan Michael Hanscom, PT, DPT

  • Physical Therapist
  • Tucson, AZ
National Provider Identifier
1720695679
Registry record updated Mar 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
32708 Issued in AZ
Practice address
1065 E Tucson Marketplace Blvd Ste 155
Tucson, AZ 85713-6563
Phone
(520) 719-4210
Fax
(520) 822-8641
NPI assigned
Sep 24, 2020
Last updated
Mar 2, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2025

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 32708 AZ Primary

Addresses

Primary practice location

1065 E Tucson Marketplace Blvd Ste 155
Tucson, AZ 85713-6563

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone (866) 370-8206

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, OR, AZ, MD4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20201116002379 NY Practitioner - Physical Therapist in Private Practice 6002227444 Reassigns benefits to 1 organization
I20220908001826 OR Practitioner - Physical Therapist in Private Practice 6002227444 Reassigns benefits to 1 organization
I20230224002561 AZ Practitioner - Physical Therapist in Private Practice 6002227444 Reassigns benefits to 1 organization
I20230918004285 MD Practitioner - Physical Therapist in Private Practice 6002227444 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ati Holdings of Arizona LLCGroup PAC ID 2466732862, 223 clinicians

Practice addresses (Care Compare)

1065 E Tucson Marketplace Blvd
Suite 155
Tucson, AZ 85713-6563
Phone (520) 822-8640

Merit-based Incentive Payment System (MIPS)

Final score
86.09 of 100Reported as group
Quality
89.13
Improvement activities
40
Cost
73.57

Merit-based Incentive Payment System (MIPS)

Final score
86.05 of 100Reported as group
Quality
89.12
Improvement activities
40
Cost
73.46

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
29543MDMDPharmacist
32708AZMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ati Holdings, LLC Physical Therapist CurrentSince Sep 11, 2023 Accepting new patients
Ati Holdings, LLC Physical Therapist CurrentSince Sep 11, 2023 Accepting new patients
Erhardt Physical Therapy and Sports Medicine, LLC Physical Therapist CurrentSince Aug 29, 2022 Accepting new patients
Genesee Valley Physical Therapy & Sports Rehab., P.C. Physical Therapist CurrentSince Sep 28, 2020 Accepting new patients
Ati Holdings of Arizona, LLC Physical Therapist CurrentSince Mar 18, 2024 Accepting new patients
Ideal Rehabilitation LLC Past Accepting new patients

Locations

1485 E Florence Blvd
Ste 105
Casa Grande, AZ 85122
Phone (520) 494-3058

10355 N La Canada Dr
Ste 125
Oro Valley, AZ 85737
Phone (520) 407-5966

11209 N Tatum Blvd
Ste B120
Phoenix, AZ 85028
Phone (602) 595-0204

5110 S Rural Rd
Ste 104
Tempe, AZ 85282
Phone (480) 629-5549

2990 N Campbell Ave
Ste 220
Tucson, AZ 85719
Phone (520) 398-6670

1020 S Harrison Rd
Unit 120
Tucson, AZ 85748
Phone (520) 207-6288

5393 S Calle Santa Cruz
Ste 107
Tucson, AZ 85706
Phone (520) 225-0129

5660 W Cortaro Farms Rd
Ste 108
Tucson, AZ 85742
Phone (520) 462-6167

1065 E Tucson Marketplace Blvd
Ste 155
Tucson, AZ 85713
Phone (520) 719-4210

790 Remington Blvd
Bolingbrook, IL 60440

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

9 Lee Airpark Dr
Ste 400
Edgewater, MD 21037
Phone (443) 607-1469

1510 Rock Spring Rd
Ste C
Forest Hill, MD 21050
Phone (410) 420-3619

52 Rising Sun Town Ctr
Rising Sun, MD 21911
Phone (410) 658-0100

3670 Mount Read Blvd
Ste 12
Rochester, NY 14616
Phone (585) 355-4310

2300 Buffalo Rd
Bldg 300A
Rochester, NY 14624
Phone (716) 247-0080

735 SW 158th Ave
Ste 160
Beaverton, OR 97006
Phone (503) 597-0035

2296 Gable Rd
Ste 230
Saint Helens, OR 97051
Phone (503) 438-3210

51385 SW Old Portland Rd
Scappoose, OR 97056
Phone (503) 543-7768

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1600905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740873600000",
    "number": "1720695679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909",
            "telephone_number": "866-370-8206",
            "fax_number": "517-435-3670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1065 E TUCSON MARKETPLACE BLVD STE 155",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857136563",
            "telephone_number": "520-719-4210",
            "fax_number": "520-822-8641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSCOM",
        "first_name": "JONATHAN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-09-24",
        "last_updated": "2025-03-02",
        "certification_date": "2025-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "32708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2025; 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.