MEDICARE: SAVANNAH HANSON PT, DPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	5190	AR
2	225100000X	Physical Therapist	LPT-32788	AZ
3	225100000X	Physical Therapist	PT2351	WY
4	225100000X	Physical Therapist	CP032709T	OR

General Provider Information

NPI Number	:	1922727957
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SAVANNAH HANSON PT, DPT

Provider Business Mailing Address
First Line	:	1200 CORPORATE DR STE 400
Second Line	:
City	:	HOOVER
State	:	AL
Zip	:	35242-5424
Country	:	US
Telephone Number	:	423-238-7217
Fax Number	:

Provider Business Practice Location Address
First Line	:	65 DIVISION AVE STE T
Second Line	:
City	:	EUGENE
State	:	OR
Zip	:	97404-2485
Country	:	US
Telephone Number	:	541-418-4590
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/23/2022
Last Update Date	:	02/11/2025

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