Individual provider Active NPI

Karen Hansen, DPT

  • Physical Therapist
  • Plymouth, MN
National Provider Identifier
1801099742
Registry record updated May 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
12770 Issued in MN
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

Updated by the provider on May 17, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, MN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20070911000319 TN Practitioner - Physical Therapist in Private Practice 3375636095 Reassigns benefits to 1 organization
I20221205001818 MN Practitioner - Physical Therapist in Private Practice 3375636095 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7857TNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Minnesota Therapy & Balance Center LLC Physical Therapist CurrentSince Oct 11, 2022 Accepting new patients
Tennessee Therapy & Balance Center, LLC CurrentSince Apr 21, 2014 Accepting new patients
Putnam Physical Therapy Services, LLC Physical Therapist PastSince Oct 20, 2019 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.

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.

Verify at the official NPI Registry.