SUSAN HANSEN (NPI# 1801256227) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801256227 |
| Entity Type | Individual |
| Full Name | SUSAN HANSEN |
| Credential | M.ED. |
| Practice Address |
207 Larkspur St Ponderay ID 83852-5011 |
| Practice Telephone | 2082553304 |
| Practice Fax Number | 2082634198 |
| Mailing Telephone | 2082553304 |
| Mailing Fax Number | 2082634198 |
| Enumeration Date | 2016-02-26 |
| Last Update Date | 2016-02-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 222Q00000X | Developmental Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326228271 | Susan G Hansen | Social Worker | 11155 Fairborough Ct, Saint Louis, MO 63146-5600 | 2007-11-08 |
| 1700087673 | Susan Virginia Hansen | Marriage & Family Therapist | 2729 4th Ave, Suite #4, San Diego, CA 92103-6223 | 2007-05-30 |
| 1023024148 | Susan Riggs Hansen | Social Worker | 16 North Franklin Street, Suite 100, Doylestown, PA 18901-3536 | 2006-07-31 |
| 1790273498 | Susan Hansen | Chiropractor | 352 E Meadow Dr, Vail, CO 81657-4507 | 2018-04-27 |
| 1316339625 | Susan Hansen | Physical Therapy Assistant | 1860 Town Center Dr, Reston, VA 20190-5896 | 2015-02-24 |
| 1194952770 | Susan N Hansen | Dietitian, Registered | 113 Comanche Rd, Fort Meade, SD 57741-1002 | 2009-06-22 |
| 1134318207 | Susan M Hansen | Massage Therapist | 14 W Graves Rd, Spokane, WA 99218-2306 | 2007-10-15 |
| 1376746503 | Susan Hansen | Counselor | 3970 S 700 E, Suite 12, Salt Lake City, UT 84107-2191 | 2007-06-06 |
| 1992907646 | Susan Marie Hansen | Psychologist | 19291 Northline Rd, Southgate, MI 48195-2220 | 2007-06-04 |
| 1750413134 | Susan Ann Hansen | Physical Therapist | 10180 Se Sunnyside Rd, Clackamas, OR 97015-8970 | 2007-03-11 |
| Street Address |
207 LARKSPUR ST |
| City | PONDERAY |
| State | ID |
| Zip Code | 83852-5011 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417084716 | Idaho Dept of Health & Welfare Reg 1 Ahm Psr Sandpoint | Clinic/Center | 207 Larkspur St, Ponderay, ID 83852-5011 | 2007-02-27 |
| 1972084937 | Carol Young | Counselor | 207 Larkspur St, Ponderay, ID 83852-5011 | 2018-08-27 |
| 1215390158 | Joanna Richter | Registered Nurse | 207 Larkspur St, Ponderay, ID 83852-5011 | 2016-03-29 |
| 1407218209 | Barbara Thompson | Social Worker | 207 Larkspur St, Ponderay, ID 83852-5011 | 2016-03-22 |
| 1003277039 | Anna Louise Lawrence | Social Worker | 207 Larkspur St, Ponderay, ID 83852-5011 | 2016-03-18 |
| 1114388105 | Sadie Green | Social Worker | 207 Larkspur St, Ponderay, ID 83852-5011 | 2016-03-17 |
| 1265892210 | Elizabeth Larsen | Developmental Therapist | 207 Larkspur St, Ponderay, ID 83852-5011 | 2016-03-03 |
| 1013239268 | Jennifer Smith | Marriage & Family Therapist | 207 Larkspur St, Ponderay, ID 83852-5011 | 2010-02-15 |
| 1467589184 | Idaho Dept of Health & Welfare Reg 1 Amh Clinic Sandpoint | Clinic/Center | 207 Larkspur St, Ponderay, ID 83852-5011 | 2007-02-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346606647 | Vern Stairs | Pharmacist | 476999 Us-95, Walmart Supercenter, Ponderay, ID 83852 | 2016-01-04 |
| 1083809727 | Michael R Dibenedetto Md Pllc | Orthopaedic Surgery | 30544 Hwy 200, Ste 102, Ponderay, ID 83852 | 2007-09-06 |
| 1811009988 | David Paul Cox | Dentist | 477542 Hwy 95 N, Ponderay, ID 83852 | 2006-08-31 |
| 1861774291 | Michael David Schicker | Orthopaedic Surgery | 30544 Highway 200 Ste 102, Ponderay, ID 83852 | 2011-09-12 |
| 1750410825 | Glacier Prosthetic Care, Inc. | Prosthetic/Orthotic Supplier | 205 Vermeer Dr, Suite C, Ponderay, ID 83852-1660 | 2007-03-05 |
| 1083949531 | Mario E Roxas | Naturopath | 476864 Highway 95, Suite #3, Ponderay, ID 83852-5000 | 2009-10-15 |
| 1942716246 | Darwin L Hurst | Family Medicine | 30544 Highway 200 Ste 101, Ponderay, ID 83852-5005 | 2017-12-21 |
| 1902036734 | Innovative Anesthesia | Nurse Anesthetist, Certified Registered | 30544 Highway 200 Ste 201, Pend Oreille Surgery Center, Ponderay, ID 83852-5005 | 2009-07-14 |
| 1255597811 | Travis Lee Taylor | Nurse Practitioner | 30544 Highway 200 Ste 102, Ponderay, ID 83852-5005 | 2008-08-04 |
| 1982741195 | Ryan Leisy | Chiropractor | 30544 Highway 200 Ste 330, Ponderay, ID 83852-5005 | 2007-01-30 |
| Find all providers in zip 83852 | ||||
| Taxonomy Code | 222Q00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Developmental Therapist |
| A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Developmental Therapy Association. A developmental therapist evaluates children's global development in order to identify areas of developmental delay whether arising from physiological, neurological, or environmental factors, or a combination of factors; and designs, implements, and modifies therapeutic interventions for the child and the family to promote the child's acquisition of skills in a variety of developmental areas, including cognitive processes and social interaction in order to maximize functional independence and developmental homeostasis, and improve the quality of life at home and in the community; and provides consultation for the parents and other professionals working with the family on global development. |
| Notes: Source: The Illinois Developmental Therapists Association [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265892210 | Elizabeth Larsen | Developmental Therapist | 207 Larkspur St, Ponderay, ID 83852-5011 | 2016-03-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225664931 | Emmerance Tshite | Developmental Therapist | 1805 E Overland Rd Apt 2123, Meridian, ID 83642-6876 | 2020-03-14 |
| 1316586506 | Kalley Ward Malone | Developmental Therapist | 2401 W Norcrest Dr, Boise, ID 83705-4346 | 2020-01-05 |
| 1063064384 | Patricia Jacobs | Developmental Therapist | 3800 W Perugia St Apt V108, Meridian, ID 83642-4966 | 2019-07-16 |
| 1306326863 | Jennifer Beason | Developmental Therapist | 9517 W Lillywood Dr, Boise, ID 83709-5371 | 2018-08-15 |
| 1740789064 | April M Teachout | Developmental Therapist | 3153 S. Lawndale Ave, Chicago, ID 60623-5039 | 2018-02-02 |
| 1831618545 | Erica Cundiff | Developmental Therapist | 10352 Aileen Ave., Mokena, ID 60448 | 2017-09-13 |
| 1639613805 | Jessica Sproul I | Developmental Therapist | 10395 Mckinley St, Nampa, ID 83687-5079 | 2016-12-07 |
| 1427419886 | Becky Allen | Developmental Therapist | 150 Shoupe Ave, Idaho Falls, ID 83402 | 2016-03-14 |
| 1073974515 | Carly Kay Powell | Developmental Therapist | 150 Shoup Avenue, Idaho Falls, ID 83402 | 2016-03-11 |
| 1518327741 | Magdalena Weimer | Developmental Therapist | 701 E Alice St, Blackfoot, ID 83221-4925 | 2016-03-01 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.