Individual provider Active NPI

Jonathan Harold Hanson, P.T.

  • Physical Therapist
  • Anacortes, WA
National Provider Identifier
1982799219
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT00004021 Issued in WA
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

Updated by the provider on Jul 8, 2007

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 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

IdentifierTypeStateIssuer
0196048OtherWADEPT. OF L & I
7458743OtherWAAETNA
5637607OtherWAFIRST HEALTH
8343170MedicaidWA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260206002964 UT Practitioner - Physical Therapist in Private Practice 6204878820 Reassigns benefits to 2 organizations

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
Registered Physical Therapists IncGroup PAC ID 9537151733, 64 clinicians

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

OrganizationSpecialtyStatusNew patients
Registered Physical Therapists LLC CurrentSince Jan 1, 2026 Accepting new patients
Mountain Land Rehabilitation LLC Physical Therapist CurrentSince Jan 1, 2026 Accepting new patients
Sherman Physical Therapy, P.S Physical Therapist PastSince Jun 1, 2016 Accepting new patients
Fidalgo Functional Physical Therapy Physical Therapist PastSince May 20, 2019 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.

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.

Verify at the official NPI Registry.