Loren Jay Hartman, PT

Individual provider Active NPI Specialist · Nappanee, IN

NPI 1215098751 · NPPES record last updated Jul 9, 2007

Key facts

NPI
1215098751
Entity type
Individual (NPI type 1)
Primary specialty
Specialist 174400000X
License
05003793A (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
Sex
Male
Sole proprietor
No

Organizations & group practices 24

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

Medicare Care Compare profile

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 LLC (976 clinicians)

Practice addresses (Care Compare)

343 E 90TH Dr
Merrillville, IN 46410-8152
Phone (219) 207-6100

Medicare participation

Medicare fee-for-service enrollment
Enrolled in IN

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20040721000364 IN Practitioner - Physical Therapist in Private Practice 0749269579 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
05003793AINMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Healthpro Heritage Rehab & Fitness, LLC Current
since Aug 22, 2023
Accepting new patients
Healthpro Heritage Rehab & Fitness, LLC Current
since Aug 22, 2023
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 05003793A IN Yes

Addresses

Primary practice location

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

Mailing address

69954 County Road 11
Suite a
Nappanee, IN 46550-9420
Phone (574) 773-7733

Other identifiers

IdentifierTypeStateIssuer
000000195425OtherINPHYSICAL THERAPY

Other providers in Nappanee, IN

All providers in Nappanee, IN · Specialist in Indiana

Sources for this page

Verify at the official NPI Registry.