Active NPI
Kevin A Hardy, DPT
- Physical Therapist
- Chevy Chase, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 24441
- Practice address
- 5454 Wisconsin Ave
Suite 600- Physical Therapy
Chevy Chase, MD 20815-6901 - Phone
- (301) 942-0442
- NPI assigned
- Apr 16, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 25490 | FL | |
| Physical Therapist | 225100000X | 24441 | MD | Primary |
Addresses
Primary practice location
5454 Wisconsin Ave
Suite 600- Physical Therapy
Chevy Chase, MD 20815-6901
Mailing address
5454 Wisconsin Ave
Suite 600- Physical Therapy
Chevy Chase, MD 20815-6901
Phone (301) 942-0442
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3903 Northdale Blvd
Suite 111W
Tampa, FL 33624-1853
Phone (813) 418-7350
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25490 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optimal Performance and Physical Therapies Northdale LLC | Physical Therapist | Current | Accepting new patients |
| Optimal Performance and Physical Therapies-Lutz, LLC | Physical Therapist | Current | Accepting new patients |
Locations
21756 State Road 54
Ste 102
Lutz, FL 33549
Phone (813) 279-6234
3903 Northdale Blvd
Ste 111W
Tampa, FL 33624
Phone (813) 381-6778
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
- Tampa, FL
- NPI 1740511195
-
- Physical Therapy Clinic/Center
- Lutz, FL
- NPI 1821429911
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1383868800000",
"number": "1063779031",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5454 WISCONSIN AVE",
"address_2": "SUITE 600- PHYSICAL THERAPY",
"city": "CHEVY CHASE",
"state": "MD",
"postal_code": "208156901",
"telephone_number": "301-942-0442"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5454 WISCONSIN AVE",
"address_2": "SUITE 600- PHYSICAL THERAPY",
"city": "CHEVY CHASE",
"state": "MD",
"postal_code": "208156901",
"telephone_number": "301-942-0442"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARDY",
"first_name": "KEVIN",
"middle_name": "A",
"name_prefix": "Mr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-04-16",
"last_updated": "2013-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "25490",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "24441",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chevy Chase, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2013; 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.