Loren Jay Hartman, PT

Primary specialty

SpecialistTaxonomy code 174400000X

License

05003793A Issued in IN

Practice address

69954 County Road 11
Suite a
Nappanee, IN 46550-9420

Phone

(574) 773-7733

Fax

(574) 773-7133

NPI assigned

Dec 12, 2006

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Healthpro Heritage Rehab and Fitness LLCGroup PAC ID 6507832573, 976 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Healthpro Heritage Rehab & Fitness, LLC

  • Physical Therapist
  • Merrillville, IN
  • NPI 1053833657
  Medicare reassignment Care Compare group NPD
• Healthpro Heritage Rehab & Fitness, LLC

  • Physical Therapist
  • Independence, MO
  • NPI 1871072462
  NPD

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1215098751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69954 COUNTY ROAD 11",
            "address_2": "SUITE A",
            "city": "NAPPANEE",
            "state": "IN",
            "postal_code": "465509420",
            "telephone_number": "574-773-7733",
            "fax_number": "574-773-7133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69954 COUNTY ROAD 11",
            "address_2": "SUITE A",
            "city": "NAPPANEE",
            "state": "IN",
            "postal_code": "465509420",
            "telephone_number": "574-773-7733",
            "fax_number": "574-773-7133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTMAN",
        "first_name": "LOREN",
        "middle_name": "JAY",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-12",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IN",
            "license": "05003793A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Larry Alan Fredericks
• Jillian R Geiger, O.D.
• Goshen Health System, Inc (Goshen Physicians)
• Goshen Hospital Association Inc (Parkview Goshen Hospital)
• Reba J Goshert, NP
• Matthew Shawn Hauck, PT, DPT
• Erick James Heckaman, DPT
• Dawn L Heckathorn, NP-C
• Karen Leigh Holmes, LAT, ATC
• Hook-Superx LLC (CVS Pharmacy #06467)

• Specialist in Nappanee, IN
• Providers in Nappanee, IN by specialty
• Specialist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.