1720695679 NPI number — DR. JONATHAN MICHAEL HANSCOM PT, DPT

Table of content: DR. JONATHAN MICHAEL HANSCOM PT, DPT (NPI 1720695679)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1720695679 NPI number — DR. JONATHAN MICHAEL HANSCOM PT, DPT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HANSCOM
Provider First Name:
JONATHAN
Provider Middle Name:
MICHAEL
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
PT, DPT
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1720695679
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/02/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
790 REMINGTON BLVD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BOLINGBROOK
Provider Business Mailing Address State Name:
IL
Provider Business Mailing Address Postal Code:
60440-4909
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
866-370-8206
Provider Business Mailing Address Fax Number:
517-435-3670

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1065 E TUCSON MARKETPLACE BLVD STE 155
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
TUCSON
Provider Business Practice Location Address State Name:
AZ
Provider Business Practice Location Address Postal Code:
85713-6563
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
520-719-4210
Provider Business Practice Location Address Fax Number:
520-822-8641
Provider Enumeration Date:
09/24/2020

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 225100000X , with the licence number:  32708 , registered in the state of AZ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)