Individual provider Active NPI

Rory Hartnett

  • Physical Therapist
  • Columbia, CT
National Provider Identifier
1053720540
Registry record updated Aug 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
010258 Issued in CT
Practice address
106 Route 66
Columbia, CT 06237-1136
Phone
(860) 228-0194
NPI assigned
Aug 8, 2014
Last updated
Aug 8, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2014

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 010258 CT Primary

Addresses

Primary practice location

106 Route 66
Columbia, CT 06237-1136

Mailing address

210 Route 87
Columbia, CT 06237-1051

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150508000216 CT Practitioner - Physical Therapist in Private Practice 0244559524 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Crossroads Physical Therapy LLCGroup PAC ID 7214196971, 11 clinicians

Practice addresses (Care Compare)

106 Route 66 E
Columbia, CT 06237-1224
Phone (860) 228-0194

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
010258CTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Crossroads Physical Therapy LLC Physical Therapist CurrentSince Apr 1, 2015 Accepting new patients

Locations

106 Route 66 E
Columbia, CT 06237
Phone (860) 228-0194

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1407456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407456000000",
    "number": "1053720540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 ROUTE 87",
            "city": "COLUMBIA",
            "state": "CT",
            "postal_code": "062371051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 ROUTE 66",
            "city": "COLUMBIA",
            "state": "CT",
            "postal_code": "062371136",
            "telephone_number": "860-228-0194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTNETT",
        "first_name": "RORY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-08-08",
        "last_updated": "2014-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "010258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2014; 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.