Active NPI
Edward R Harding, PTA
- Physical Therapy Assistant
- Williamsville, NY
National Provider Identifier
1124358767
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 007302-1
- Practice address
- 5570 Main St
2ND FL
Williamsville, NY 14221-5477 - Phone
- (716) 250-4137
- NPI assigned
- Jan 4, 2010
- Sex
- Male
- 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 | 007302-1 | NY | Primary |
Addresses
Primary practice location
5570 Main St
2ND FL
Williamsville, NY 14221-5477
Mailing address
1332 W Corktree Cir
Port Charlotte, FL 33952-1164
Phone (585) 704-9976
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 |
|---|---|---|---|
| 007302-1 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1262563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1403222400000",
"number": "1124358767",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1332 W CORKTREE CIR",
"city": "PORT CHARLOTTE",
"state": "FL",
"postal_code": "339521164",
"telephone_number": "585-704-9976"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5570 MAIN ST",
"address_2": "2ND FL",
"city": "WILLIAMSVILLE",
"state": "NY",
"postal_code": "142215477",
"telephone_number": "716-250-4137"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARDING",
"first_name": "EDWARD",
"middle_name": "R",
"name_prefix": "Mr.",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-01-04",
"last_updated": "2014-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "NY",
"license": "007302-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Williamsville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.