Active NPI
Patricia A Russell-Hardesty, LMT
- Mechanotherapist
- Hilliard, OH
National Provider Identifier
1265672448
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mechanotherapist
- License
- 33.017321
- Practice address
- 3804 Fishinger Blvd
Hilliard, OH 43026-9551 - Phone
- (614) 111-0222
- NPI assigned
- Feb 27, 2009
- 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 |
|---|---|---|---|---|
| Mechanotherapist | 172M00000X | 33.017321 | OH | Primary |
Addresses
Primary practice location
3804 Fishinger Blvd
Hilliard, OH 43026-9551
Mailing address
40 W Possum Rd
Springfield, OH 45506-3612
Phone (937) 322-8301
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33.017321 | OH | MD | Mechanotherapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1235692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1235692800000",
"number": "1265672448",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40 W POSSUM RD",
"city": "SPRINGFIELD",
"state": "OH",
"postal_code": "455063612",
"telephone_number": "937-322-8301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3804 FISHINGER BLVD",
"city": "HILLIARD",
"state": "OH",
"postal_code": "430269551",
"telephone_number": "614-111-0222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUSSELL-HARDESTY",
"first_name": "PATRICIA",
"middle_name": "A",
"name_prefix": "Mrs.",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-02-27",
"last_updated": "2009-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "172M00000X",
"taxonomy_group": "",
"desc": "Mechanotherapist",
"state": "OH",
"license": "33.017321",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hilliard, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.