Active NPI
Richard Gregory Harty, P.T.
- Physical Therapist
- Stockton, CA
National Provider Identifier
1114148566
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT10634
- Practice address
- 7829 N Pershing Ave
Stockton, CA 95207-1749 - Phone
- (209) 406-5387
- NPI assigned
- May 2, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 Therapist | 225100000X | PT10634 | CA | Primary |
Addresses
Primary practice location
7829 N Pershing Ave
Stockton, CA 95207-1749
Mailing address
2219 Chaparral CT
Lodi, CA 95242-4100
Phone (209) 369-7224
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 |
|---|---|---|---|
| PT10634 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1271030400000",
"number": "1114148566",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2219 CHAPARRAL CT",
"city": "LODI",
"state": "CA",
"postal_code": "952424100",
"telephone_number": "209-369-7224"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7829 N PERSHING AVE",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952071749",
"telephone_number": "209-406-5387"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARTY",
"first_name": "RICHARD",
"middle_name": "GREGORY",
"name_prefix": "Mr.",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-02",
"last_updated": "2010-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT10634",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stockton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.