Individual provider Active NPI

Kristen Anne Hansen, M.S. OTR/L

  • Occupational Therapist
  • Staten Island, NY
National Provider Identifier
1811235153
Registry record updated Nov 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
63-017343 Issued in NY
Practice address
11 E Raleigh Ave
Staten Island, NY 10310-2811
Phone
(917) 846-7537
NPI assigned
Jan 22, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 63-017343 NY Primary

Addresses

Primary practice location

11 E Raleigh Ave
Staten Island, NY 10310-2811

Mailing address

11 E Raleigh Ave
Staten Island, NY 10310-2811
Phone (917) 846-7537

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241111003335 NY Practitioner - Occupational Therapist in Private Practice 3072047281 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
In House Physical Therapy PLLCGroup PAC ID 3971785890, 6 clinicians

Practice addresses (Care Compare)

112 Bidwell Ave
Staten Island, NY 10314-3177
Phone (718) 637-4603

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
63-017343NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
In House Physical Therapy PLLC CurrentSince Oct 3, 2024 Accepting new patients
Homefront OT/PT Rehabilitation Associates PLLC Occupational Therapist PastSince Nov 17, 2024 Accepting new patients
Kristen Hughes Occupational Therapist Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1358812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731369600000",
    "number": "1811235153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 E RALEIGH AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103102811",
            "telephone_number": "917-846-7537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 E RALEIGH AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103102811",
            "telephone_number": "917-846-7537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSEN",
        "first_name": "KRISTEN",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "M.S. OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-22",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "63-017343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.