Individual provider Active NPI

Ann Snortum Hansen, MPT

  • Physical Therapist
  • Kenmore, WA
National Provider Identifier
1871012328
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
00004047 Issued in WA
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, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20180423000807 WA Practitioner - Physical Therapist in Private Practice 5890058069 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
00004047WAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
King County Public Hospital District No. 2 Physical Therapist CurrentSince Jan 1, 2018 Accepting new patients
King County Public Hospital District No. 2 CurrentSince Jan 1, 2018 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.

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.

Verify at the official NPI Registry.