Stephanie A Hanson, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT00008779 Issued in WA

Practice address

4606 Bridgeport Way W
Suite C
University Place, WA 98466-4200

Phone

(253) 565-3551

Fax

(253) 565-4535

NPI assigned

Nov 9, 2005

Last updated

Feb 16, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Stephanie A Dunbar Former name

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hanson and Purdue Physical Therapy Inc PSGroup PAC ID 7012153687, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Hanson and Purdue Physical Therapy Inc PS

  dba Grant Spangle Physical Therapy

  • Physical Therapist
  • Gig Harbor, WA
  • NPI 1710226188
  Medicare reassignment Care Compare group NPD Authorized official
• McRae and Radonich Inc PS

  dba Physical Therapy Associates INC PS

  • Physical Therapist
  • University Place, WA
  • NPI 1326062191
  NPD (past)
• Mount Rainier Neurology Clinic and Diagnostic Center PS

  • Neurology Physician
  • Tacoma, WA
  • NPI 1467505172
  NPD (past)
• Quenga, Hanson and Purdue, P.S., Inc.

  dba Physical Therapy Associates

  • Physical Therapist
  • University Place, WA
  • NPI 1871082974
  NPD (past)

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

{
    "created_epoch": "1131494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329350400000",
    "number": "1942281613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4606 BRIDGEPORT WAY W",
            "address_2": "SUITE C",
            "city": "UNIVERSITY PLACE",
            "state": "WA",
            "postal_code": "984664200",
            "telephone_number": "253-565-3551",
            "fax_number": "253-565-4535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4606 BRIDGEPORT WAY W",
            "address_2": "SUITE C",
            "city": "UNIVERSITY PLACE",
            "state": "WA",
            "postal_code": "984664200",
            "telephone_number": "253-565-3551",
            "fax_number": "253-565-4535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSON",
        "first_name": "STEPHANIE",
        "middle_name": "A",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-09",
        "last_updated": "2012-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00008779",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7041437",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "DUNBAR",
            "middle_name": "A",
            "credential": "MPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mitra Rajabi Hanjani, M.D.
• Tori Hanley
• Donna Hanlon, LICSW
• Lexy Hansen
• Melissa Hansen, LMFTA
• Mekenzie Yoko Madokoro Harle, LMFT
• Alecia Harris
• Julliet M Harris, BSN,RN
• William John Harris, DDS
• Lori Jean Harrison, MA

• Physical Therapist in University Place, WA
• Providers in University Place, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2012; 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.

Verify at the official NPI Registry.