Active NPI
Erich Lee Hartzog, PT
- Physical Therapist
- Sugar Land, TX
National Provider Identifier
1194931220
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1145993
- Practice address
- 17510 W Grand Parkway South
100
Sugar Land, TX 77479 - Phone
- (281) 725-5895
- NPI assigned
- May 15, 2007
- Sex
- Male
- Sole proprietor
- No
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 | 1145993 | TX | Primary |
Addresses
Primary practice location
17510 W Grand Parkway South
100
Sugar Land, TX 77479
Mailing address
602 Pecan St
Wharton, TX 77488-4012
Phone (281) 723-1184
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1145993 | TX | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1375142400000",
"number": "1194931220",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "602 PECAN ST",
"city": "WHARTON",
"state": "TX",
"postal_code": "774884012",
"telephone_number": "281-723-1184"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17510 W GRAND PARKWAY SOUTH",
"address_2": "100",
"city": "SUGAR LAND",
"state": "TX",
"postal_code": "77479",
"telephone_number": "281-725-5895"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARTZOG",
"first_name": "ERICH",
"middle_name": "LEE",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-15",
"last_updated": "2013-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1145993",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sugar Land, TX
- Donyale Kioko Harris, MD
- Kristin Harris
- Stephen A. Harris, D.C.
- Jennifer Harrison, NP
- Harshida J Chaudhari MD PA (I and My Doctors Clinic)
- Najah Elizabeth Harvey, DPT
- Melody Carol Haryanto, MA, CCC/SLP ASDCS
- Khairunisa Moosa Hashmani, RDH, BS
- Aqsa Hashmi
- Hashwani Healthcare, PLLC (Hashwani Neurology & Neurophysiology Clinic (HNNC))
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.