Active NPI
Anna Hardesty, PT
- Physical Therapist
- Grand Coulee, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT60598621
- Practice address
- 411 Fortuyn Rd
Grand Coulee, WA 99133-8718 - Phone
- (509) 633-3260
- Fax
- (509) 633-3212
- NPI assigned
- Feb 10, 2016
- Last updated
- Sep 14, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT60598621 | WA | Primary |
Addresses
Primary practice location
411 Fortuyn Rd
Grand Coulee, WA 99133-8718
Mailing address
411 Fortuyn Rd
Grand Coulee, WA 99133-8718
Phone (509) 633-3260
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2055346 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT60598621 | WA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Douglas, Grant, Lincoln & Okanogan Counties Public Hospital District 6 | Current | Accepting new patients | |
| Douglas, Grant, Lincoln & Okanogan Counties Public Hospital District 6 | Current | Accepting new patients | |
| Apple Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
| Douglas, Grant, Lincoln & Okanogan Counties Public Hospital District 6 | Current | Accepting new patients | |
| Apple Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| Apple Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
Locations
790 Remington Blvd
Bolingbrook, IL 60440
4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001
4220 Hoyt Ave
Everett, WA 98203
Phone (425) 258-5330
32030 23rd Ave S
Federal Way, WA 98003
Phone (253) 946-4852
411 Fortuyn Rd
Grand Coulee, WA 99133
Phone (509) 633-1753
25012 104th Ave SE
Ste C
Kent, WA 98030
Phone (253) 856-3477
130 Marvin Rd SE
Ste 203
Lacey, WA 98503
Phone (360) 456-3300
Interoperability endpoints
- hardesa@cmccares.cernerdirect.com
- https://fhir-myrecord.cerner.com/r4/f18be9cb-2758-4a4b-a2a6-5e5131bfb5bc/
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Critical Access Hospital
- Grand Coulee, WA
- NPI 1184844185
-
- Family Medicine Physician
- Grand Coulee, WA
- NPI 1265422935
-
dba ATI Physical Therapy
- Durable Medical Equipment & Medical Supplies
- Mountlake Terrace, WA
- NPI 1366746232
Physical Therapist
-
dba Coulee Medical Center
- Medicare Defined Swing Bed Hospital Unit
- Grand Coulee, WA
- NPI 1699851840
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1455062400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600041600000",
"number": "1003274614",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "411 FORTUYN RD",
"city": "GRAND COULEE",
"state": "WA",
"postal_code": "991338718",
"telephone_number": "509-633-3260",
"fax_number": "509-633-3212"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "411 FORTUYN RD",
"city": "GRAND COULEE",
"state": "WA",
"postal_code": "991338718",
"telephone_number": "509-633-3260",
"fax_number": "509-633-3212"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARDESTY",
"first_name": "ANNA",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-02-10",
"last_updated": "2020-09-14",
"certification_date": "2020-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT60598621",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2055346",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Grand Coulee, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.