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

Lanthan Hakanson, DPT

Individual provider Physical Therapist · NPI 1003359142

Lanthan Hakanson, DPT is a Physical Therapist in Private Practice in Fresno, California. Qualified in 2016, 10 years ago. Practices with Sports and Orthopedic Physical Therapy Clinic Inc, a 4-clinician group. Licensed in California.

Years since qualifying
10
Licensed in
CA
In the registry since
2016
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

6335 N Fresno St Ste 108
Fresno, CA 93710-5272
Phone: (594) 320-5245
Fax: (559) 449-8646
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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 292408 (CA)

Record details

NPI number1003359142
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedNovember 21, 2016
Last updated in NPPESJune 23, 2025
Certification dateJune 23, 2025
Mailing address6335 N Fresno St Ste 108, Fresno, CA 93710-5272

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Sports And Orthopedic Physical Therapy Clinic Inc — 4 clinicians
Accepts Medicare assignment Not indicated

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