Active NPI
Jonathan Harold Hanson, P.T.
- Physical Therapist
- Anacortes, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT00004021
- Practice address
- 1813 O Ave
Anacortes, WA 98221-2344 - Phone
- (360) 588-8075
- Fax
- (360) 588-0406
- NPI assigned
- Oct 3, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 | PT00004021 | WA | Primary |
Addresses
Primary practice location
1813 O Ave
Anacortes, WA 98221-2344
Mailing address
1813 O Ave
Anacortes, WA 98221-2344
Phone (360) 588-8075
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0196048 | Other | WA | DEPT. OF L & I |
| 7458743 | Other | WA | AETNA |
| 5637607 | Other | WA | FIRST HEALTH |
| 8343170 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- University of Utah School of Medicine, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
9844 S 1300
Suite 200
Sandy, UT 84094-4689
Phone (801) 572-0099
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Registered Physical Therapists LLC | Current | Accepting new patients | |
| Mountain Land Rehabilitation LLC | Physical Therapist | Current | Accepting new patients |
| Sherman Physical Therapy, P.S | Physical Therapist | Past | Accepting new patients |
| Fidalgo Functional Physical Therapy | Physical Therapist | Past | Accepting new patients |
Locations
1950 E Fort Union Blvd
Ste 2
Salt Lake City, UT 84121
Phone (801) 943-1041
9844 S 1300 E
Ste 200
Sandy, UT 84094
Phone (801) 572-0690
9844 S 1300 E
Ste 300
Sandy, UT 84094
Phone (801) 572-0690
4179 S Riverboat Rd
Ste 110
Taylorsville, UT 84123
Phone (801) 337-4475
1577 W 7000 S
Ste 100
West Jordan, UT 84084
Phone (801) 566-6301
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- Sandy, UT
- NPI 1477582633
-
- Physical Therapist
- Salt Lake City, UT
- NPI 1265549372
-
dba McPhee Physical Therapy
- Physical Therapist
- Anacortes, WA
- NPI 1023579554
-
dba Sherman Physical Therapy
- Physical Therapist
- Anacortes, WA
- NPI 1083890479
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1982799219",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1813 O AVE",
"city": "ANACORTES",
"state": "WA",
"postal_code": "982212344",
"telephone_number": "360-588-8075",
"fax_number": "360-588-0406"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1813 O AVE",
"city": "ANACORTES",
"state": "WA",
"postal_code": "982212344",
"telephone_number": "360-588-8075",
"fax_number": "360-588-0406"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANSON",
"first_name": "JONATHAN",
"middle_name": "HAROLD",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT00004021",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPT. OF L & I",
"identifier": "0196048",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7458743",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH",
"identifier": "5637607",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8343170",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Anacortes, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.