Active NPI
Ann Snortum Hansen, MPT
- Physical Therapist
- Kenmore, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 00004047
- Practice address
- 18151 68TH Ave NE Ste 100
Kenmore, WA 98028-2835 - Phone
- (425) 899-1960
- Fax
- (425) 899-3760
- NPI assigned
- Sep 15, 2017
- Last updated
- Jun 16, 2018
- Sex
- Female
- Sole proprietor
- No
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 | 00004047 | WA | Primary |
Addresses
Primary practice location
18151 68TH Ave NE Ste 100
Kenmore, WA 98028-2835
Mailing address
12039 NE 128TH St Ste 200
Kirkland, WA 98034-3030
Phone (425) 899-1960
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00004047 | WA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| King County Public Hospital District No. 2 | Physical Therapist | Current | Accepting new patients |
| King County Public Hospital District No. 2 | Current | Accepting new patients | |
| King County Public Hospital District No 2 | Current | Accepting new patients |
Locations
14720 Main St NE
Ste 109
Duvall, WA 98019
Phone (425) 788-4889
18151 68th Ave NE
Ste 100
Kenmore, WA 98028
Phone (425) 485-6561
12039 NE 128th St
Ste 200
Kirkland, WA 98034
Phone (425) 899-1960
12040 NE 128th St
#10
Kirkland, WA 98034
Phone (206) 466-0369
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.
-
dba Booth Gardner Parkinsons Care Center
- Neuromusculoskeletal Medicine & OMM Physician
- Kirkland, WA
- NPI 1801986070
-
dba EvergreenHealth at Home Physical Therapy
- Physical Therapist
- Kirkland, WA
- NPI 1356920946
-
dba EvergreenHealth Medical Group King County
- Clinic/Center
- Redmond, WA
- NPI 1750612883
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1505433600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529107200000",
"number": "1871012328",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12039 NE 128TH ST STE 200",
"city": "KIRKLAND",
"state": "WA",
"postal_code": "980343030",
"telephone_number": "425-899-1960",
"fax_number": "425-899-3760"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18151 68TH AVE NE STE 100",
"city": "KENMORE",
"state": "WA",
"postal_code": "980282835",
"telephone_number": "425-899-1960",
"fax_number": "425-899-3760"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANSEN",
"first_name": "ANN",
"middle_name": "SNORTUM",
"credential": "MPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-09-15",
"last_updated": "2018-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "00004047",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kenmore, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.