Calvin Geogre Hartman, PHYSICAL THERAPIST

Individual provider Active NPI Physical Therapist · Porterville, CA

NPI 1225272016 · NPPES record last updated Apr 24, 2009

Key facts

NPI
1225272016
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
PT14616 (CA)
Practice address
25 East Thurman Ave
Porterville, CA 93257-3709
Phone
(559) 791-1778
Fax
(559) 791-1771
NPI assigned
Apr 24, 2009
Sex
Male
Sole proprietor
No

Organizations & group practices 1

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 participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
Fortuna Family Medicine Inc. Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT14616 CA Yes

Addresses

Primary practice location

25 East Thurman Ave
Porterville, CA 93257-3709

Mailing address

25 E Thurman Ave
Porterville, CA 93257-3709
Phone (559) 791-1778

Other identifiers

IdentifierTypeStateIssuer
PT14616OtherCAPT LICENSE

Other providers in Porterville, CA

All providers in Porterville, CA · Physical Therapist in California

Sources for this page

Verify at the official NPI Registry.