Individual provider Active NPI

Devin Patrick Hartman, PT, DPT, OCS, CMT

  • Orthopedic Physical Therapist
  • Cedar Rapids, IA
National Provider Identifier
1124698360
Registry record updated Jun 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
099022 Issued in IA
Practice address
101 3Rd Ave SW Ste 102
Cedar Rapids, IA 52404-5736
Phone
(319) 200-6102
NPI assigned
Jun 29, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 099022 IA Primary

Addresses

Primary practice location

101 3Rd Ave SW Ste 102
Cedar Rapids, IA 52404-5736

Mailing address

101 3Rd Ave SW Ste 102
Cedar Rapids, IA 52404-5736
Phone (319) 200-6102

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210721001384 IA Practitioner - Physical Therapist in Private Practice 7012310592 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kepros Physical Therapy and Performance PCGroup PAC ID 7719105063, 19 clinicians

Practice addresses (Care Compare)

218 4TH Ave SW
Cedar Rapids, IA 52404-5720
Phone (319) 200-6102

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
099022IAMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Kepros Physical Therapy and Performance, P.C. Orthopedic CurrentSince Jul 12, 2021 Accepting new patients

Locations

218 4th Ave SW
Cedar Rapids, IA 52404
Phone (319) 200-6102

101 3rd Ave SW
Ste 102
Cedar Rapids, IA 52404
Phone (319) 200-6102

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1624924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624924800000",
    "number": "1124698360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 3RD AVE SW STE 102",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524045736",
            "telephone_number": "319-200-6102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 3RD AVE SW STE 102",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524045736",
            "telephone_number": "319-200-6102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTMAN",
        "first_name": "DEVIN",
        "middle_name": "PATRICK",
        "credential": "PT, DPT, OCS, CMT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-29",
        "last_updated": "2021-06-29",
        "certification_date": "2021-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "IA",
            "license": "099022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Rapids, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2021; 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.