JAGAR HANSON DPT
NPI 1316633266
Physical Therapist in Blaine, MN

Active since April 13, 2023
1630 101ST AVE NE STE 140, BLAINE, MN 55449(763) 703-3509 Get Directions Write a Review

NPPES record last updated: April 13, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jagar Hanson Dpt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JAGAR HANSON DPT (NPI 1316633266) is an individual physical therapist in Blaine, Minnesota, licensed in Minnesota (12904) and active in the NPI registry since April 2023. He is a graduate of University Of North Dakota School Of Medicine (2022).

NPPES Registry Identity

NPI1316633266
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameJAGAR HANSONCredential: DPT
Location Address1630 101ST AVE NE STE 140Blaine, MN 55449-3401
Mailing Address1630 101st Ave Ne Ste 140Blaine, MN 55449-3401
Sole ProprietorYes
Medical School CMSUniversity Of North Dakota School Of MedicineGraduated 2022
Enumeration DateApril 13, 2023
NPPES CertifiedApril 13, 2023
✔ NPI 1316633266 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License✔ Licensed in MN · 12904
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
1630 101ST AVE NE STE 140, Blaine, MN 55449

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jagar Hanson Dpt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2961856471
PECOS Enrollment IDI20231002001368

Medicare Billing Reassignment

Medicare enrollment records show Jagar Hanson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Chiropractor
1360 101ST AVE NE, SUITE 140
Blaine, MN 55449
  • Reassigned Medicare billing, Minnesota enrollment
  • 6 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Massage Therapist
1630 101ST AVE NE STE 140
BLAINE, MN 55449
Chiropractor
1630 101ST AVE NE STE 140
BLAINE, MN 55449
Physical Therapist
1630 101ST AVE NE STE 140
BLAINE, MN 55449
Physical Therapist
1630 101ST AVE NE STE 140
BLAINE, MN 55449

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jagar Hanson's NPI number?

The NPI number for Jagar Hanson is 1316633266. It was assigned to this individual provider in the NPPES registry on April 13, 2023.

Where is Jagar Hanson located?

Jagar Hanson practices at 1630 101st Ave NE Ste 140, Blaine, MN 55449. The listed phone number is (763) 703-3509.

What is Jagar Hanson's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Jagar Hanson enrolled in Medicare?

Yes. Jagar Hanson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jagar Hanson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jagar Hanson reassigns Medicare benefits to Lund Health Professional Corporation (Blaine, MN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jagar Hanson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jagar Hanson was last updated on April 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.