Brian Hardy II, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

14316-24 Issued in WI

Practice address

3620 57TH Ave Ste 400
Kenosha, WI 53144-4924

Phone

(262) 925-5250

NPI assigned

Aug 2, 2018

Sex

Male

Sole proprietor

No

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)

Enrolled

Practice roles

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.

• PT Pros LLC

  • Physical Therapist
  • Kenosha, WI
  • NPI 1598133217
  NPD (past)

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

{
    "created_epoch": "1533168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533168000000",
    "number": "1063990877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 52ND ST STE 240",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531403423",
            "telephone_number": "888-488-8714",
            "fax_number": "262-925-5001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3620 57TH AVE STE 400",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531444924",
            "telephone_number": "262-925-5250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARDY II",
        "first_name": "BRIAN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-02",
        "last_updated": "2018-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "14316-24",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda K Hansen, M.D.
• Ellen Hanzalik-Meo, LCSW
• Harbor Shore Wellness PLLC
• Harborside Eye Care LLC
• Allison Elizabeth Hardin, PA-C
• Angie Harnish
• Lakiela Janaya Harris
• Meghan Harris
• Trevor Kyle Harris, CCC-SLP
• Karen A Hartje, DNP, ANP-BC, APNP

• Physical Therapist in Kenosha, WI
• Providers in Kenosha, WI by specialty
• Physical Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2018; 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.