Active NPI
Ann M Hart, MS,PT
- Physical Therapist
- Crystal Lake, IL
National Provider Identifier
1174756308
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070014559
- Practice address
- 965 N Brighton Cir
Crystal Lake, IL 60012-2036 - Phone
- (815) 459-6395
- Fax
- (815) 459-6608
- NPI assigned
- Sep 4, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070014559 | IL | Primary |
Addresses
Primary practice location
965 N Brighton Cir
Crystal Lake, IL 60012-2036
Mailing address
965 N Brighton Cir
Crystal Lake, IL 60012-2036
Phone (815) 459-6395
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)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070014559 | IL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1252022400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1252022400000",
"number": "1174756308",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "965 N BRIGHTON CIR",
"city": "CRYSTAL LAKE",
"state": "IL",
"postal_code": "600122036",
"telephone_number": "815-459-6395",
"fax_number": "815-459-6608"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "965 N BRIGHTON CIR",
"city": "CRYSTAL LAKE",
"state": "IL",
"postal_code": "600122036",
"telephone_number": "815-459-6395",
"fax_number": "815-459-6608"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HART",
"first_name": "ANN",
"middle_name": "M",
"credential": "MS,PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-09-04",
"last_updated": "2009-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070014559",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Crystal Lake, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.