Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Jonathan Michael Hanscom, PT, DPT

Individual provider Physical Therapist · NPI 1720695679

Dr. Jonathan Michael Hanscom, PT, DPT is a Physical Therapist in Private Practice in Tucson, Arizona. Qualified in 2020, 6 years ago. Practices with Ati Holdings of Arizona LLC, a 231-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
6
Licensed in
AZ
In the registry since
2020
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

1065 E Tucson Marketplace Blvd Ste 155
Tucson, AZ 85713-6563
Phone: (520) 719-4210
Fax: (520) 822-8641
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 32708 (AZ)

Record details

NPI number1720695679
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedSeptember 24, 2020
Last updated in NPPESMarch 2, 2025
Certification dateMarch 2, 2025
Mailing address790 Remington Blvd, Bolingbrook, IL 60440-4909

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Ati Holdings Of Arizona Llc — 231 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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