Individual provider Active NPI

Kimberly L Hartt, PT

  • Physical Therapist
  • Valley Village, CA
National Provider Identifier
1013154186
Registry record updated Dec 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 25967 Issued in CA
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

Updated by the provider on Dec 16, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20120412000557 CA Practitioner - Physical Therapist in Private Practice 5294994596 Reassigns benefits to 2 organizations

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

LicenseStateTypeSpecialty
25967CAMDGeneral Practice Dentistry
PT 25967CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hartt2Heart, Incorporated Physical Therapist CurrentSince Nov 15, 2011 Accepting new patients
California Luna Care Physical Therapy PC Physical Therapist CurrentSince Oct 15, 2025 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.

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.

Verify at the official NPI Registry.