Active NPI
Judith Hark
- Physical Therapist
- Hawthorne, NY
National Provider Identifier
1235587320
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 040155
- Practice address
- 370 Elwood Ave
Suite 101
Hawthorne, NY 10532-1258 - Phone
- (914) 769-7690
- NPI assigned
- May 30, 2016
- Sex
- Female
- 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 | 040155 | NY | Primary |
Addresses
Primary practice location
370 Elwood Ave
Suite 101
Hawthorne, NY 10532-1258
Mailing address
16 Maybrook Rd
Suitej
Campbell Hall, NY 10916-2743
Phone (845) 636-4344
Other names 1
- Judith Lotterman
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 040155 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alpine Physical Therapy & Sports Care, P.C. | Physical Therapist | Past | Accepting new patients |
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.
-
- Physical Therapy Clinic/Center
- Manchester, VT
- NPI 1972661197
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464566400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1464566400000",
"number": "1235587320",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16 MAYBROOK RD",
"address_2": "SUITEJ",
"city": "CAMPBELL HALL",
"state": "NY",
"postal_code": "109162743",
"telephone_number": "845-636-4344"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "370 ELWOOD AVE",
"address_2": "SUITE 101",
"city": "HAWTHORNE",
"state": "NY",
"postal_code": "105321258",
"telephone_number": "914-769-7690"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARK",
"first_name": "JUDITH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-05-30",
"last_updated": "2016-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "040155",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JUDITH",
"last_name": "LOTTERMAN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Hawthorne, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.