Individual provider Active NPI

Michael Douglas Hardy, PT, DPT, CSCS, NREMT

  • Physical Therapist
  • Natick, MA
National Provider Identifier
1134668940
Registry record updated Feb 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
22843 Issued in MA
Practice address
1 H F Brown Way
Natick, MA 01760-3889
Phone
(508) 647-1633
NPI assigned
Feb 14, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2017

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 22843 MA Primary

Addresses

Primary practice location

1 H F Brown Way
Natick, MA 01760-3889

Mailing address

47 Inman St
Apt 42
Cambridge, MA 02139-1757

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170601000973 MA Practitioner - Physical Therapist in Private Practice 6709153323 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22843MAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Jump Start Physical Therapy, Inc Physical Therapist CurrentSince Feb 13, 2017 Accepting new patients

Locations

1 H F Brown Way
Natick, MA 01760
Phone (508) 647-1633

57 Chapel St
Ste 101
Newton, MA 02458
Phone (617) 467-5901

290 Vanderbilt Ave
Ste 5
Norwood, MA 02062
Phone (781) 349-8235

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": "1487030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487030400000",
    "number": "1134668940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 INMAN ST",
            "address_2": "APT 42",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021391757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 H F BROWN WAY",
            "city": "NATICK",
            "state": "MA",
            "postal_code": "017603889",
            "telephone_number": "508-647-1633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARDY",
        "first_name": "MICHAEL",
        "middle_name": "DOUGLAS",
        "name_prefix": "Dr.",
        "credential": "PT, DPT, CSCS, NREMT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-02-14",
        "last_updated": "2017-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "22843",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Natick, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.