Individual provider Active NPI

Blake A Hardy, PT DPT OCS

  • Physical Therapist
  • West Des Moines, IA
National Provider Identifier
1124243936
Registry record updated Sep 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2262 Issued in IA
Practice address
2001 Westown Pkwy
Ste 107
West Des Moines, IA 50265-1540
Phone
(515) 440-3439
Fax
(515) 440-3832
NPI assigned
Apr 16, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 02262 IA
Physical Therapist 225100000X 2262 IA Primary

Addresses

Primary practice location

2001 Westown Pkwy
Ste 107
West Des Moines, IA 50265-1540

Mailing address

2001 Westown Pkwy
Ste 107
West Des Moines, IA 50265-1540
Phone (515) 440-3439

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070914000062 IA Practitioner - Physical Therapist in Private Practice 7911091400 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
02262IAMDPhysical Therapist
2262IAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Core Physical Therapy Inc Physical Therapist CurrentSince Oct 1, 2007 Accepting new patients
Allergy Institute, P.C. PastSince Oct 1, 2023 Accepting new patients

Locations

2001 Westown Pkwy
Ste 107
West Des Moines, IA 50265
Phone (515) 223-8622

1200 Valley West Dr
Ste 300
West Des Moines, IA 50266
Phone (515) 440-3439

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.

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Core Physical Therapy Inc 17 clinicians

Practice addresses (Care Compare)

1200 Valley W Dr
Suite 300
West Des Moines, IA 50266-1904
Phone (515) 440-3439

NPI Registry JSON

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285632000000",
    "number": "1124243936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 WESTOWN PKWY",
            "address_2": "STE 107",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502651540",
            "telephone_number": "515-440-3439",
            "fax_number": "515-440-3832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 WESTOWN PKWY",
            "address_2": "STE 107",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502651540",
            "telephone_number": "515-440-3439",
            "fax_number": "515-440-3832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARDY",
        "first_name": "BLAKE",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "PT DPT OCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-16",
        "last_updated": "2010-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "02262",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "2262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Des Moines, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2010; 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.

Verify at the official NPI Registry.