Nicole Marie Hartman

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2720-19 Issued in WI

Practice address

1320 S Green Bay Rd
Mt Pleasant, WI 53406-4402

Phone

(262) 886-3431

NPI assigned

Dec 19, 2017

Sex

Female

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1513641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541030400000",
    "number": "1073029609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12701 W SYCAMORE DR APT 105",
            "city": "NEW BERLIN",
            "state": "WI",
            "postal_code": "531518611",
            "telephone_number": "608-617-4622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 S GREEN BAY RD",
            "city": "MT PLEASANT",
            "state": "WI",
            "postal_code": "534064402",
            "telephone_number": "262-886-3431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTMAN",
        "first_name": "NICOLE",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-19",
        "last_updated": "2018-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WI",
            "license": "2720-19",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandy Harris, RN
• Kathy Harris
• Teya Harris, CD
• Sara Hartl, PT, DPT
• Anya Hartley, MD
• Rochelle F Hass, PA-C
• Syed A Hassan, M.D
• Pamela Hauke
• Dana Hauser, MS LPC-IT
• Heart to Heart Assisted Living Homes LLC

• Physical Therapy Assistant in Mt Pleasant, WI
• Providers in Mt Pleasant, WI by specialty
• Physical Therapy Assistant in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 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.