Individual provider Active NPI

Courtney B Hanscom, PT, DPT

  • Physical Therapist
  • Malvern, PA
National Provider Identifier
1962050260
Registry record updated Feb 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT027987 Issued in PA
Practice address
1106 Summerhill Dr
Malvern, PA 19355-8711
Phone
(610) 225-2451
NPI assigned
Aug 29, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2024

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 PT027987 PA Primary

Addresses

Primary practice location

1106 Summerhill Dr
Malvern, PA 19355-8711

Mailing address

1106 Summerhill Dr
Malvern, PA 19355-8711
Phone (610) 554-2922

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191114002139 PA Practitioner - Physical Therapist in Private Practice 1951733856 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kinetic Physical Therapy LLCGroup PAC ID 1456358571, 25 clinicians

Practice addresses (Care Compare)

640 Rice Blvd
Suite 103
Exton, PA 19341-1383
Phone (610) 424-1100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Kinetic Physical Therapy, LLC Physical Therapist CurrentSince Apr 12, 2023 Accepting new patients
Dr Hanscom Mobile PT CurrentSince Mar 17, 2024 Accepting new patients
Pennsylvania Luna Care Physical Therapy LLC Physical Therapist CurrentSince May 23, 2024 Accepting new patients
JMB Therapy Services LLC Physical Therapist PastSince Sep 1, 2019 Accepting new patients

Locations

163 Pottstown Pike
Chester Springs, PA 19425
Phone (610) 458-6464

640 Rice Blvd
Ste 103
Exton, PA 19341

300 Welsh Rd
Bldg 1
Horsham, PA 19044

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1567036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708387200000",
    "number": "1962050260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1106 SUMMERHILL DR",
            "city": "MALVERN",
            "state": "PA",
            "postal_code": "193558711",
            "telephone_number": "610-554-2922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1106 SUMMERHILL DR",
            "city": "MALVERN",
            "state": "PA",
            "postal_code": "193558711",
            "telephone_number": "610-225-2451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSCOM",
        "first_name": "COURTNEY",
        "middle_name": "B",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-29",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT027987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Malvern, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2024; 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.