Active NPI
Kimberly Michelle Hardester, PTA
- Physical Therapy Assistant
- Bel Air, MD
National Provider Identifier
1073079224
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- A3525
- Practice address
- 410 E Macphail Rd
Bel Air, MD 21014-4410 - Phone
- (410) 420-6145
- NPI assigned
- Feb 13, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | A3525 | MD | Primary |
Addresses
Primary practice location
410 E Macphail Rd
Bel Air, MD 21014-4410
Mailing address
1120 Darlene Rd
Forest Hill, MD 21050-2731
Phone (410) 960-7661
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A3525 | MD | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1550016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1550016000000",
"number": "1073079224",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1120 DARLENE RD",
"city": "FOREST HILL",
"state": "MD",
"postal_code": "210502731",
"telephone_number": "410-960-7661"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "410 E MACPHAIL RD",
"city": "BEL AIR",
"state": "MD",
"postal_code": "210144410",
"telephone_number": "410-420-6145"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARDESTER",
"first_name": "KIMBERLY",
"middle_name": "MICHELLE",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-02-13",
"last_updated": "2019-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "MD",
"license": "A3525",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bel Air, MD
- Neelakanth Ramachandra Harapanahalli, MD
- Lauren Harcarik, LMSW
- Katherine Marie Harclerode, FNP-BC
- Harco Marriage and Family Therapy & Wellness Center (HarCO MFT)
- Abigail Harder
- Robert Jeremey Hardesty, LCSW-C
- Molly Maureen Harding, PT, DPT
- Leonard Hardman
- Joan Marie Hare, MSN
- Harford County Health Department
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.