Active NPI
Gary Hansen, PT
- Physical Therapist
- Seattle, WA
National Provider Identifier
1780784868
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT3286
- Practice address
- 5025 25TH Ave NE
Suite 201
Seattle, WA 98105-4151 - Phone
- (206) 524-6702
- Fax
- (206) 524-6703
- NPI assigned
- Sep 25, 2006
- 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 | PT3286 | WA | Primary |
Addresses
Primary practice location
5025 25TH Ave NE
Suite 201
Seattle, WA 98105-4151
Mailing address
8041 13TH Ave NW
Seattle, WA 98117-4204
Phone (206) 782-5999
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 192455 | Other | WA | LABOR & INDUSTRIES |
| 8400590 | Medicaid | WA |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT3286 | WA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1201132800000",
"number": "1780784868",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8041 13TH AVE NW",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981174204",
"telephone_number": "206-782-5999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5025 25TH AVE NE",
"address_2": "SUITE 201",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981054151",
"telephone_number": "206-524-6702",
"fax_number": "206-524-6703"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANSEN",
"first_name": "GARY",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-25",
"last_updated": "2008-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT3286",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LABOR & INDUSTRIES",
"identifier": "192455",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8400590",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.