Renee Hanson, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

9625A Issued in AZ

Practice address

205 Moonglow Ave
Alamogordo, NM 88310-3339

Phone

(575) 434-4510

NPI assigned

Dec 3, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1449100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449100800000",
    "number": "1831564731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 MOONGLOW AVE",
            "city": "ALAMOGORDO",
            "state": "NM",
            "postal_code": "883103339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 MOONGLOW AVE",
            "city": "ALAMOGORDO",
            "state": "NM",
            "postal_code": "883103339",
            "telephone_number": "575-434-4510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSON",
        "first_name": "RENEE",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-03",
        "last_updated": "2015-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "AZ",
            "license": "9625A",
            "primary": true
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NM",
            "license": "A-0897",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Donald Hamer, O.D.
• Samuel Glen Hammel, D.C.
• Victoria Hampton
• Alexander W Han, DMD
• Elizabeth Hanscome, AUD
• Sarojana Hanumandla, M.D.
• Christina Hard
• Lynette Hardimon
• Heather Harlan, BSN, RN
• Ricardo Harmon III

• Physical Therapy Assistant in Alamogordo, NM
• Providers in Alamogordo, NM by specialty
• Physical Therapy Assistant in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2015; 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.