Active NPI
David O Hardy, MS PT OCS CSCS
- Physical Therapist
- Ontario, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5145
- Practice address
- 2671 SW 4TH Ave
Treasure Valley Physical Therapy
Ontario, OR 97914-1833 - Phone
- (541) 889-2221
- Fax
- (541) 889-2221
- NPI assigned
- Aug 16, 2005
- 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 | 5145 | OR | Primary |
Addresses
Primary practice location
2671 SW 4TH Ave
Treasure Valley Physical Therapy
Ontario, OR 97914-1833
Mailing address
PO Box 1336
Treasure Valley Physical Therapy
Ontario, OR 97914-1054
Phone (541) 889-2221
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR, ID
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2671 SW 4TH Ave
Ontario, OR 97914-1833
Phone (541) 889-2221
501 N 16TH St
Suite 104
Payette, ID 83661-2782
Phone (208) 739-4453
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5145 | OR | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Treasure Valley Physical Therapy Inc | Physical Therapist | Current | Accepting new patients |
| Malheur County | Past | Accepting new patients |
Locations
501 N 16th St
Ste 104
Payette, ID 83661
Phone (208) 739-4453
2671 SW 4th Ave
Ontario, OR 97914
Phone (541) 889-2221
Organizations & group practices 2
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.
-
dba Malheur County Health Dept
- State or Local Public Health Clinic/Center
- Ontario, OR
- NPI 1417087297
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1215929393",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1336",
"address_2": "TREASURE VALLEY PHYSICAL THERAPY",
"city": "ONTARIO",
"state": "OR",
"postal_code": "979141054",
"telephone_number": "541-889-2221",
"fax_number": "541-889-3437"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2671 SW 4TH AVE",
"address_2": "TREASURE VALLEY PHYSICAL THERAPY",
"city": "ONTARIO",
"state": "OR",
"postal_code": "979141833",
"telephone_number": "541-889-2221",
"fax_number": "541-889-2221"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARDY",
"first_name": "DAVID",
"middle_name": "O",
"name_prefix": "Mr.",
"credential": "MS PT OCS CSCS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OR",
"license": "5145",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ontario, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.