Jared Wade Hansen

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

A1456 Issued in MN

Practice address

2319 7TH St W
Saint Paul, MN 55116-2813

Phone

(651) 251-3078

Fax

(651) 698-3910

NPI assigned

Nov 27, 2012

Sex

Male

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1353974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354147200000",
    "number": "1730424086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5816 AQUILA AVE N",
            "city": "NEW HOPE",
            "state": "MN",
            "postal_code": "554283136",
            "telephone_number": "641-512-4275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2319 7TH ST W",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551162813",
            "telephone_number": "651-251-3078",
            "fax_number": "651-698-3910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSEN",
        "first_name": "JARED",
        "middle_name": "WADE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-11-27",
        "last_updated": "2012-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MN",
            "license": "A1456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ana Hanrahan, M.D.
• Tonya Hansel
• Craig Daniel Hansen, PHARM D.
• Dianne M Hansen, RN,C AHN-BC, LMT
• Helen Eileen Hansen, RD
• Jeanne Renee Hansen
• Jeffrey James Hansen, PSYD
• Jill Hansen
• John Martin Hansen, LP
• Jordan Hansen, LADC

• Physical Therapy Assistant in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Physical Therapy Assistant in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2012; 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.