Individual provider Active NPI

Edward Donald Hardy, PHYSICAL THERAPY

  • Specialist
  • Connellsville, PA
National Provider Identifier
1134490170
Registry record updated Jan 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
PT010573L Issued in PA
Practice address
201 N Pittsburgh St
Second Floor
Connellsville, PA 15425-3233
Phone
(724) 628-0719
Fax
(724) 603-2472
NPI assigned
Jan 23, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X PT010573L PA Primary

Addresses

Primary practice location

201 N Pittsburgh St
Second Floor
Connellsville, PA 15425-3233

Mailing address

201 N Pittsburgh St
Second Floor
Connellsville, PA 15425-3233
Phone (724) 628-0719

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT010573LPAMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1327276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327276800000",
    "number": "1134490170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 N PITTSBURGH ST",
            "address_2": "SECOND FLOOR",
            "city": "CONNELLSVILLE",
            "state": "PA",
            "postal_code": "154253233",
            "telephone_number": "724-628-0719",
            "fax_number": "724-603-2472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 N PITTSBURGH ST",
            "address_2": "SECOND FLOOR",
            "city": "CONNELLSVILLE",
            "state": "PA",
            "postal_code": "154253233",
            "telephone_number": "724-628-0719",
            "fax_number": "724-603-2472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARDY",
        "first_name": "EDWARD",
        "middle_name": "DONALD",
        "name_prefix": "Mr.",
        "credential": "PHYSICAL THERAPY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-01-23",
        "last_updated": "2012-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PA",
            "license": "PT010573L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Connellsville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.