Hanson Physical Therapy & Sports Performance

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

HANSON PHYSICAL THERAPY & SPORTS PERFORMANCE

Practice address

750 State Route 3 S Ste 5
Gambrills, MD 21054-1306

Phone

(703) 407-4881

NPI assigned

Jul 3, 2020

Last updated

Jul 3, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Kimberly Hanson, DPT

Title

Owner

Phone

(703) 407-4881

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1593734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593734400000",
    "number": "1790302925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2505 REVERE CT",
            "city": "CROFTON",
            "state": "MD",
            "postal_code": "211143253",
            "telephone_number": "703-407-4881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 STATE ROUTE 3 S STE 5",
            "city": "GAMBRILLS",
            "state": "MD",
            "postal_code": "210541306",
            "telephone_number": "703-407-4881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANSON PHYSICAL THERAPY & SPORTS PERFORMANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-03",
        "last_updated": "2020-07-03",
        "certification_date": "2020-07-03",
        "status": "A",
        "authorized_official_last_name": "HANSON",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-407-4881",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "BX02-0002",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bruce Myron Gordon, PHARM.D.
• Scott Goyette, PT
• Greater Annapolis Oral & Maxillofacial Surgery
• Brenda Green
• Linda P Grierson, RN
• Harcart Health Holdings LLC (Righttime Medical Care)
• Jennifer Lynn Harris
• Susana Molero Harris, MAC LICENSED ACUPUNC
• Healtopia Primary Care and Medical Weight Loss, LLC
• Alyssa Christine Hipple, LAC

• Physical Therapy Clinic/Center in Gambrills, MD
• Providers in Gambrills, MD by specialty
• Physical Therapy Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2020; 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.