Organization Active NPI

Harteis Physical Therapy & Sports Performance, LLC

  • Physical Therapist
  • Ebensburg, PA
National Provider Identifier
1184507147
Registry record updated Oct 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
HARTEIS PHYSICAL THERAPY & SPORTS PERFORMANCE, LLC
Practice address
128 W High St
Ebensburg, PA 15931-1539
Phone
(814) 525-9768
NPI assigned
Jul 28, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2025

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

Authorized official

Name
Dr. Blaine Harteis, DPTNPI 1629801832
Title
Physical Therapist
Phone
(814) 525-9768

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

128 W High St
Ebensburg, PA 15931-1539

Mailing address

4903 Lucerne Rd
Indiana, PA 15701-6000
Phone (814) 525-9768

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251208002922 PA Part B Supplier - Clinic/Group Practice 5890289805 Receives reassigned benefits from 1 practitioner
Practice locations: Ebensburg, PA

National Provider Directory

National Provider Directory

Locations

128 W High St
Ebensburg, PA 15931
Phone (814) 525-9768

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1753660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760572800000",
    "number": "1184507147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4903 LUCERNE RD",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157016000",
            "telephone_number": "814-525-9768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 W HIGH ST",
            "city": "EBENSBURG",
            "state": "PA",
            "postal_code": "159311539",
            "telephone_number": "814-525-9768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARTEIS PHYSICAL THERAPY & SPORTS PERFORMANCE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-28",
        "last_updated": "2025-10-16",
        "certification_date": "2025-10-16",
        "status": "A",
        "authorized_official_last_name": "HARTEIS",
        "authorized_official_first_name": "BLAINE",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "814-525-9768",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ebensburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2025; 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.