MEDICARE: BROOKE HANSEN 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

General Provider Information

NPI Number	:	1699454397
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BROOKE HANSEN DPT

Provider Business Mailing Address
First Line	:	5111 N RHETT AVE
Second Line	:
City	:	NORTH CHARLESTON
State	:	SC
Zip	:	29405-4219
Country	:	US
Telephone Number	:	843-804-9479
Fax Number	:	843-804-9020

Provider Business Practice Location Address
First Line	:	2267 ASHLEY RIVER RD
Second Line	:
City	:	CHARLESTON
State	:	SC
Zip	:	29414-4736
Country	:	US
Telephone Number	:	843-576-4121
Fax Number	:	843-576-4121

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

Provider Enumeration Date	:	07/12/2023
Last Update Date	:	07/24/2023

Similar Medicare Providers

1881775286 — MRS. JAMIE LYNN KORNEGAY
Practice Location Address:

2267 ASHLEY RIVER RD
CHARLESTON, SC
29414-4736

Practice Phone: 843-576-4121
Practice Fax: 843-793-3575

1588977862 — IMAGINE PHYSICAL THERAPY IN WEST ASHLEY, LLC
Practice Location Address:

2267 ASHLEY RIVER ROAD
CHARLESTON, SC
29414-4736

Practice Phone: 843-576-4121
Practice Fax: 843-793-3575

1619702826 — ASHLEE ANDERSON
Practice Location Address:

2100 CHARLIE HALL BLVD
CHARLESTON, SC
29414-5832

Practice Phone: 843-852-4100
Practice Fax:

1366102972 — TAYLOR MARLOW
Practice Location Address:

2100 CHARLIE HALL BLVD
CHARLESTON, SC
29414-5832

Practice Phone: 843-852-4100
Practice Fax:

1194380162 — LIBERTY DOCTORS, LLC
Practice Location Address:

2270 ASHLEY CROSSING DR STE 165
CHARLESTON, SC
29414-5865

Practice Phone: 843-936-4455
Practice Fax: 843-268-2670

1780336404 — ANNA KIMBOROWICZ PA-C
Practice Location Address:

2093 HENRY TECKLENBURG DR STE 200E
CHARLESTON, SC
29414-5742

Practice Phone: 843-958-2500
Practice Fax: 843-958-2680

Directions to “ BROOKE HANSEN DPT” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.