Charles Ray Hartman Jr., PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

TE000534L Issued in PA

Practice address

5500 Brooktree Rd
Suite 102
Wexford, PA 15090-9260

Phone

(814) 235-2032

Fax

(814) 235-6223

NPI assigned

Dec 4, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1196726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196726400000",
    "number": "1023290715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5500 BROOKTREE RD",
            "address_2": "SUITE 102",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150909260",
            "telephone_number": "814-235-2032",
            "fax_number": "814-235-6223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5500 BROOKTREE RD",
            "address_2": "SUITE 102",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150909260",
            "telephone_number": "814-235-2032",
            "fax_number": "814-235-6223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTMAN",
        "first_name": "CHARLES",
        "middle_name": "RAY",
        "name_suffix": "Jr.",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-12-04",
        "last_updated": "2007-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "PA",
            "license": "TE000534L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Harper, LPC
• Kamran Kate-Eugenie Harper, MD
• Angela L Harrington, PSYD
• Malyn Hart
• John Stuart Hartline, L.M.S.W
• Olivia Hartman
• Farhad Hasan, M.D.
• Heywood Albert Haser, M.D.
• Mark Hayduk, COTA
• Loraine J Hayes, LCSW

• Physical Therapy Assistant in Wexford, PA
• Providers in Wexford, PA by specialty
• Physical Therapy Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.