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

Shad Hansen

Individual provider Physical Therapist · NPI 1720472483

Shad Hansen is a Physical Therapist in Private Practice in Nashua, New Hampshire. Qualified in 1997, 29 years ago. Practices with Derry Sports and Rehab LLC, a 6-clinician group and accepts Medicare assignment. Licensed in New Hampshire.

Years since qualifying
29
Licensed in
NH
In the registry since
2015
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Practice location Address checks out

17 Riverside St Ste 203
Nashua, NH 03062-1304
Phone: (603) 889-0177
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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 2840 (NH)

Record details

NPI number1720472483
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 20, 2015
Last updated in NPPESMarch 20, 2015

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Group practice Derry Sports And Rehab Llc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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