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

Jodi Hansen

Individual provider Physical Therapist · NPI 1235099706

Jodi Hansen is a Physical Therapist in Lakeport, California. Licensed in California. Registered with an NPI since 2025.

Licensed in
CA
In the registry since
2025

Practice location Address checks out

925 Bevins Ct
Lakeport, CA 95453-9754
Phone: (707) 263-8382
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT43491 (CA)

Record details

NPI number1235099706
Entity typeIndividual (Type 1)
GenderNot disclosed
Sole proprietorNo
NPI enumeratedNovember 17, 2025
Last updated in NPPESNovember 17, 2025
Certification dateNovember 16, 2025
Mailing address10694 Northslope Dr, Kelseyville, CA 95451-9761

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