Active NPI
Karen Hansen, DPT
- Physical Therapist
- Plymouth, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 12770
- Practice address
- 12805 Highway 55 Ste 155
Plymouth, MN 55441-3859 - Phone
- (763) 465-6822
- Fax
- (763) 465-6825
- NPI assigned
- Jun 7, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 7857 | TN | |
| Physical Therapist | 225100000X | 12770 | MN | Primary |
Addresses
Primary practice location
12805 Highway 55 Ste 155
Plymouth, MN 55441-3859
Mailing address
12805 Highway 55 Ste 135
Plymouth, MN 55441-3859
Phone (763) 465-6822
Other practice location 1
675 S Jefferson Ave Ste C
Cookeville, TN 38501-0949
Phone (931) 528-8822
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, MN
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7857 | TN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Minnesota Therapy & Balance Center LLC | Physical Therapist | Current | Accepting new patients |
| Tennessee Therapy & Balance Center, LLC | Current | Accepting new patients | |
| Putnam Physical Therapy Services, LLC | Physical Therapist | Past | Accepting new patients |
Locations
12805 Highway 55
Ste 155
Plymouth, MN 55441
Phone (763) 465-6822
12805 Highway 55
Ste 135
Plymouth, MN 55441
Phone (763) 465-6822
675 S Jefferson Ave
Ste C
Cookeville, TN 38501
Phone (931) 528-8822
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapy Clinic/Center
- Plymouth, MN
- NPI 1639896913
Physical Therapist
-
- Physical Therapy Clinic/Center
- Cookeville, TN
- NPI 1942624341
-
dba Cumberland Physical Therapy
- Physical Therapist
- Cookeville, TN
- NPI 1356984769
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684281600000",
"number": "1801099742",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12805 HIGHWAY 55 STE 135",
"city": "PLYMOUTH",
"state": "MN",
"postal_code": "554413859",
"telephone_number": "763-465-6822",
"fax_number": "763-465-6825"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12805 HIGHWAY 55 STE 155",
"city": "PLYMOUTH",
"state": "MN",
"postal_code": "554413859",
"telephone_number": "763-465-6822",
"fax_number": "763-465-6825"
}
],
"practiceLocations": [
{
"address_1": "675 S Jefferson Ave Ste C",
"address_purpose": "LOCATION",
"city": "Cookeville",
"state": "TN",
"postal_code": "385010949",
"country_code": "US",
"telephone_number": "931-528-8822",
"fax_number": "931-528-8825",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HANSEN",
"first_name": "KAREN",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-07",
"last_updated": "2023-05-17",
"certification_date": "2023-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TN",
"license": "7857",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MN",
"license": "12770",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Plymouth, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.