Individual provider Active NPI

Jonathan Eric Hartstein, PT

  • Specialist
  • Bexley, OH
National Provider Identifier
1154480192
Registry record updated Jul 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
PT 08734 Issued in OH
Practice address
2736 E Main St
Bexley, OH 43209-2534
Phone
(614) 586-1305
Fax
(614) 586-1307
NPI assigned
Dec 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X PT 08734 OH Primary

Addresses

Primary practice location

2736 E Main St
Bexley, OH 43209-2534

Mailing address

2736 E Main St
Bexley, OH 43209-2534
Phone (614) 586-1305

Other identifiers 1

IdentifierTypeStateIssuer
2449587MedicaidOH

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
PT 08734OHMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217289600000",
    "number": "1154480192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2736 E MAIN ST",
            "city": "BEXLEY",
            "state": "OH",
            "postal_code": "432092534",
            "telephone_number": "614-586-1305",
            "fax_number": "614-586-1307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2736 E MAIN ST",
            "city": "BEXLEY",
            "state": "OH",
            "postal_code": "432092534",
            "telephone_number": "614-586-1305",
            "fax_number": "614-586-1307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTSTEIN",
        "first_name": "JONATHAN",
        "middle_name": "ERIC",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-06",
        "last_updated": "2008-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OH",
            "license": "PT 08734",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2449587",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bexley, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2008; 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.