Jamie K Hanson, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

61726 Issued in OR

Practice address

111 Owen Rd
Monona, WI 53716-3585

Phone

(608) 470-8058

NPI assigned

Feb 20, 2018

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

Other names 1

• Jamie K Montgomery Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1519084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675209600000",
    "number": "1780184325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 W COLLEGE AVE FL 2",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549115826",
            "telephone_number": "866-288-8001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 OWEN RD",
            "city": "MONONA",
            "state": "WI",
            "postal_code": "537163585",
            "telephone_number": "608-470-8058"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "965 Ellendale Dr",
            "address_purpose": "LOCATION",
            "city": "Medford",
            "state": "OR",
            "postal_code": "975048215",
            "country_code": "US",
            "telephone_number": "541-732-6000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HANSON",
        "first_name": "JAMIE",
        "middle_name": "K",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-20",
        "last_updated": "2023-02-01",
        "certification_date": "2023-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "61726",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAMIE",
            "last_name": "MONTGOMERY",
            "middle_name": "K",
            "credential": "PT, DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Deanna Marie Halvorsen, RN
• Jessica Hammond, RN
• Kelsey A Hand, PA-C
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• Marilsa Hansen, LPC
• Molly Hartshorn, LCSW
• Danielle E Hartwig, MD
• Healing Hands Home Health, LLC
• Healthcare & Homecare Staffing
• Allison Hecht

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2023; 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.