Mary S. Hansen, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

4095-024 Issued in WI

Practice address

6754 Lindermann Ave
Suite B
Racine, WI 53406-5603

Phone

(262) 635-3300

Fax

(262) 635-3303

NPI assigned

Oct 21, 2005

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)

Not enrolled

State licenses

Practice roles

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

• Southport Rehab Associates, Inc

  • Rehabilitation Clinic/Center
  • Kenosha, WI
  • NPI 1114929064
  NPD (past)

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

{
    "created_epoch": "1129852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1740279769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "719 WILLMOR ST",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534024068",
            "telephone_number": "262-752-5985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6754 LINDERMANN AVE",
            "address_2": "SUITE B",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534065603",
            "telephone_number": "262-635-3300",
            "fax_number": "262-635-3303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSEN",
        "first_name": "MARY",
        "middle_name": "S.",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "4095-024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tod M Hammes, DDS
• Cathryn Hammond, RN
• Angela Marie Hansen, LPC
• Catherine Joy Leigh Hansen
• Kathryn Sue Hansen, OTR
• Patti Hansen
• Brittany Hanson
• Stephanie B Hanson, LCSW
• Harbor Medical & Associates SC
• Jerry M. Hardacre II, M.D.

• Physical Therapist in Racine, WI
• Providers in Racine, WI by specialty
• Physical Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.