Individual provider Active NPI

William Hanson, DPT

  • Physical Therapist
  • Chandler, AZ
National Provider Identifier
1881275634
Registry record updated Apr 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
31683 Issued in AZ
Practice address
1076 W Chandler Blvd Ste 103
Chandler, AZ 85224-5223
Phone
(480) 821-1997
NPI assigned
Apr 14, 2021
Last updated
Apr 14, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 14, 2021

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 31683 AZ Primary

Addresses

Primary practice location

1076 W Chandler Blvd Ste 103
Chandler, AZ 85224-5223

Mailing address

577 E Baseline Rd Apt 1034
Tempe, AZ 85283-1279
Phone (480) 404-0303

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210701003591 AZ Practitioner - Physical Therapist in Private Practice 2264833870 Reassigns benefits to 5 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
31683AZMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Nikao Physical Therapy, PLLC Physical Therapist CurrentSince Feb 1, 2024 Accepting new patients
360 Physical Therapy LLC CurrentSince Apr 1, 2021 Accepting new patients
Arizona Luna Care Physical Therapy, LLC Physical Therapist CurrentSince Nov 1, 2022 Accepting new patients
360 Physical Therapy LLC Physical Therapist CurrentSince Apr 1, 2021 Accepting new patients
360 Physical Therapy, LLC Current Accepting new patients
Spectrum Spine and Sport Physical Therapy LLC Physical Therapist CurrentSince Nov 2, 2021 Accepting new patients

Locations

1076 W Chandler Blvd
Ste 103
Chandler, AZ 85224
Phone 4808211997116

3485 S Mercy Rd
Ste 101
Gilbert, AZ 85297
Phone (480) 507-2044

14050 N 83rd Ave
Ste 290
Peoria, AZ 85381
Phone (623) 261-1362

2121 S Mill Ave
Ste 205
Tempe, AZ 85282
Phone (408) 524-0321

Organizations & group practices 7

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": "1618358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618358400000",
    "number": "1881275634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "577 E BASELINE RD APT 1034",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852831279",
            "telephone_number": "480-404-0303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1076 W CHANDLER BLVD STE 103",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852245223",
            "telephone_number": "480-821-1997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSON",
        "first_name": "WILLIAM",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-04-14",
        "last_updated": "2021-04-14",
        "certification_date": "2021-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "31683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2021; 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.