Active NPI
Kirk Wayne Hansen, P.T.
- Physical Therapist
- Ogden, UT
National Provider Identifier
1770818965
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 4739083-2401
- Practice address
- 3350 Airport Rd
Ogden, UT 84405-1563 - Phone
- (801) 625-9346
- Fax
- (801) 625-9335
- NPI assigned
- Oct 6, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 4739083-2401 | UT | Primary |
Addresses
Primary practice location
3350 Airport Rd
Ogden, UT 84405-1563
Mailing address
3350 Airport Rd
Ogden, UT 84405-1563
Phone (801) 625-9346
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4739083-2401 | UT | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Total Rehab, Inc. | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Therapist
- Brigham City, UT
- NPI 1801079439
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1254787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1254787200000",
"number": "1770818965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3350 AIRPORT RD",
"city": "OGDEN",
"state": "UT",
"postal_code": "844051563",
"telephone_number": "801-625-9346",
"fax_number": "801-625-9335"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3350 AIRPORT RD",
"city": "OGDEN",
"state": "UT",
"postal_code": "844051563",
"telephone_number": "801-625-9346",
"fax_number": "801-625-9335"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANSEN",
"first_name": "KIRK",
"middle_name": "WAYNE",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-10-06",
"last_updated": "2009-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "UT",
"license": "4739083-2401",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ogden, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.