Individual provider Active NPI

Lena S Hardy, PT

  • Physical Therapist
  • Atmore, AL
National Provider Identifier
1134475924
Registry record updated Oct 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTH6465 Issued in AL
Practice address
104 5TH Ave
Atmore, AL 36502-2617
Phone
(251) 321-0799
Fax
(251) 321-0798
NPI assigned
Jul 30, 2012
Last updated
Oct 3, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PTH6465 AL Primary

Addresses

Primary practice location

104 5TH Ave
Atmore, AL 36502-2617

Mailing address

104 5TH Ave
Atmore, AL 36502-2617
Phone (251) 321-0799

Other practice location 1

30941 Mill Ln
Suite D
Spanish Fort, AL 36527-5456
Phone (251) 625-2170

Other identifiers 2

IdentifierTypeStateIssuer
1003819608OtherALGROUP NPI
529917620MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120918000660 AL Practitioner - Physical Therapist in Private Practice 5395993257 Reassigns benefits to 1 organization
I20240925001893 TX Practitioner - Physical Therapist in Private Practice 5395993257 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2012
Medicare assignment
May accept Medicare assignment
Group practices
Poarch Band of Creek IndiansGroup PAC ID 9830188085, 12 clinicians

Practice addresses (Care Compare)

104 5TH Ave
Atmore, AL 36502-2617
Phone (214) 215-4627

429 Buford L Rolin Dr
Atmore, AL 36502-5190
Phone 25136891362412

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Astound Physical Therapy CurrentSince Oct 1, 2018 Accepting new patients
Poarch Band of Creek Indians CurrentSince Aug 1, 2024 Accepting new patients
Encore Rehabilitation Inc Past Accepting new patients
Encore Rehabilitation Inc Past Accepting new patients
Encore Rehabilitation, Inc. Past Accepting new patients
Encore Rehabilitation Inc Past Accepting new patients
Encore Rehabilitation Inc Past Accepting new patients

Locations

104 5th Ave
Atmore, AL 36502
Phone (214) 215-4627

5811 Jack Springs Rd
Atmore, AL 36502
Phone (251) 368-9136

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/148f5931-d9cf-4d65-8c66-7021ed161b73/

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1343606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538524800000",
    "number": "1134475924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 5TH AVE",
            "city": "ATMORE",
            "state": "AL",
            "postal_code": "365022617",
            "telephone_number": "251-321-0799",
            "fax_number": "251-321-0798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 5TH AVE",
            "city": "ATMORE",
            "state": "AL",
            "postal_code": "365022617",
            "telephone_number": "251-321-0799",
            "fax_number": "251-321-0798"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30941 Mill Ln",
            "address_2": "Suite D",
            "address_purpose": "LOCATION",
            "city": "Spanish Fort",
            "state": "AL",
            "postal_code": "365275456",
            "country_code": "US",
            "telephone_number": "251-625-2170",
            "fax_number": "251-625-2172",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARDY",
        "first_name": "LENA",
        "middle_name": "S",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-30",
        "last_updated": "2018-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH6465",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1003819608",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529917620",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atmore, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2018; 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.