Gage Hartman

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

24099 Issued in MA

Practice address

1 Spruce Hill Rd
Weston, MA 02493-2133

Phone

(781) 591-9284

NPI assigned

Oct 21, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Functional Therapy and Rehab LLCGroup PAC ID 6608169149, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Functional Therapy and Rehab, LLC

  • Physical Therapist
  • Randolph, MA
  • NPI 1467809202
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1445385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573689600000",
    "number": "1124490867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 CHESTNUT CIR",
            "city": "RANDOLPH",
            "state": "MA",
            "postal_code": "023682957",
            "telephone_number": "571-275-2043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SPRUCE HILL RD",
            "city": "WESTON",
            "state": "MA",
            "postal_code": "024932133",
            "telephone_number": "781-591-9284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTMAN",
        "first_name": "GAGE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-10-21",
        "last_updated": "2019-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "OH",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "24099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Hamwey, NP
• Unae K. Han, D.M.D.
• Claudia Ann Harris, M.S.W.
• Ethan G. Harris, MSW
• Katharine Vannostrand Harrison
• Jasmynn Hawkins
• Heggerick, Alwazzan & Noel DMD, Prosthodontists
• William Charles Heggerick, DDS FACP
• Scott Richard Helle, DMD
• Maeve Katherine Hennebury, RN

• Physical Therapist in Weston, MA
• Providers in Weston, MA by specialty
• Physical Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2019; 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.