NPIMap

Organization Active NPI

Don H. Hansen Physical Therapy, PC

  • Physical Therapist
  • Draper, UT
National Provider Identifier
1851521090
Registry record updated Jul 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1219692401 Issued in UT
Legal business name
DON H. HANSEN PHYSICAL THERAPY, PC
Practice address
11760 S 700 E
Suite 112
Draper, UT 84020-6604
Phone
(801) 432-2200
Fax
(801) 432-2202
NPI assigned
Jul 22, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2009

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

Authorized official

Name
Mrs. Tatia Hansen
Title
Administrative Assistant
Phone
(801) 432-2200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 1219692401 UT Primary

Addresses

Primary practice location

11760 S 700 E
Suite 112
Draper, UT 84020-6604

Mailing address

11760 S 700 E
Suite 112
Draper, UT 84020-6604
Phone (801) 432-2200

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031216000422 UT Part B Supplier - Clinic/Group Practice 4981501152 Receives reassigned benefits from 1 practitioner
Practice locations: Draper, UT

National Provider Directory

National Provider Directory
Tax ID family
Don H Hansen Physical Therapy Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

11760 S 700 E
Ste 211
Draper, UT 84020
Phone (801) 432-2200

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1248220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248220800000",
    "number": "1851521090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11760 S 700 E",
            "address_2": "SUITE 112",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840206604",
            "telephone_number": "801-432-2200",
            "fax_number": "801-432-2202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11760 S 700 E",
            "address_2": "SUITE 112",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840206604",
            "telephone_number": "801-432-2200",
            "fax_number": "801-432-2202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DON H. HANSEN PHYSICAL THERAPY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-22",
        "last_updated": "2009-07-22",
        "status": "A",
        "authorized_official_last_name": "HANSEN",
        "authorized_official_first_name": "TATIA",
        "authorized_official_title_or_position": "ADMINISTRATIVE ASSISTANT",
        "authorized_official_telephone_number": "801-432-2200",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "UT",
            "license": "1219692401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Draper, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2009; 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.