Active NPI
Kimberly L Hartt, PT
- Physical Therapist
- Valley Village, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT 25967
- Practice address
- 12626 Riverside Drive Ste. 512
Valley Village, CA 91607-3460 - Phone
- (818) 308-7141
- Fax
- (818) 301-2660
- NPI assigned
- Jan 12, 2009
- 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 | PT 25967 | CA | Primary |
Addresses
Primary practice location
12626 Riverside Drive Ste. 512
Valley Village, CA 91607-3460
Mailing address
P O Box 2273
Toluca Lake, CA 91610-0273
Phone (818) 308-7141
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
4208 Lankershim Blvd
Toluca Lake, CA 91602-2855
Phone (818) 308-7141
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25967 | CA | MD | General Practice Dentistry |
| PT 25967 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hartt2Heart, Incorporated | Physical Therapist | Current | Accepting new patients |
| California Luna Care Physical Therapy PC | Physical Therapist | Current | Accepting new patients |
Locations
16185 Los Gatos Blvd
Ste 205
Los Gatos, CA 95032
Phone (408) 459-8108
4208 Lankershim Blvd
Toluca Lake, CA 91602
Phone (818) 985-7723
12626 Riverside Dr
Ste 512
Valley Village, CA 91607
Phone (818) 285-6333
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Valley Village, CA
- NPI 1497034540
-
- Physical Therapist
- Los Gatos, CA
- NPI 1689162166
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1231718400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1576454400000",
"number": "1013154186",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P O BOX 2273",
"city": "TOLUCA LAKE",
"state": "CA",
"postal_code": "916100273",
"telephone_number": "818-308-7141",
"fax_number": "818-301-2660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12626 RIVERSIDE DRIVE STE. 512",
"city": "VALLEY VILLAGE",
"state": "CA",
"postal_code": "916073460",
"telephone_number": "818-308-7141",
"fax_number": "818-301-2660"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARTT",
"first_name": "KIMBERLY",
"middle_name": "L",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-01-12",
"last_updated": "2019-12-16",
"certification_date": "2019-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT 25967",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Valley Village, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.