Active NPI
Raymond Hanson, PT
- Physical Therapist
- Commack, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 010088
- Practice address
- 159 Indian Head Rd
Commack, NY 11725-2205 - Phone
- (631) 543-4500
- NPI assigned
- Nov 1, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 010088 | NY | Primary |
Addresses
Primary practice location
159 Indian Head Rd
Commack, NY 11725-2205
Mailing address
30 Oceanview Blvd
Manorville, NY 11949-2956
Phone (631) 325-0993
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
159 Carleton Ave
Central Islip, NY 11722-4172
Phone (631) 650-2510
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 010088 | NY | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Long Island Select Healthcare, Inc. | Current | Accepting new patients | |
| United Cerebral Palsy Association of Greater Suffolk, Inc. | Past | Accepting new patients |
Locations
159 Carleton Ave
Central Islip, NY 11722
Phone (631) 439-4300
250 Marcus Blvd
Hauppauge, NY 11788
Phone (631) 439-4300
883 E Main St
Riverhead, NY 11901
Phone (631) 284-5500
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/CCJFAD
Organizations & group practices 2
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.
-
dba LISH, Inc.
- Federally Qualified Health Center (FQHC)
- Central Islip, NY
- NPI 1043663107
-
- Voluntary or Charitable Agency
- Commack, NY
- NPI 1932296001
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1841377272",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 OCEANVIEW BLVD",
"city": "MANORVILLE",
"state": "NY",
"postal_code": "119492956",
"telephone_number": "631-325-0993"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "159 INDIAN HEAD RD",
"city": "COMMACK",
"state": "NY",
"postal_code": "117252205",
"telephone_number": "631-543-4500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANSON",
"first_name": "RAYMOND",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "010088",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Commack, NY
- Kimberly Stone Haltiwanger, MD
- Adris Hamid, MHC-LP
- Hand on Health Care
- Hands on Healthcare Massage Therapy, P.C.
- John Timothy Hansford Jr., D.M.D.
- Lori Hardoon, LCSW
- Jared Scott Harmon, PA-C
- Harmony Healing Room LLC (Intuitive Therapeutic Massage of Long Island)
- Brooke Harris, LMSW
- Ouida Harry, MHC-LP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.