Trevor J Harding, PHYSICAL THERAPY

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA002169 Issued in GA

Practice address

4914 Fieldpointe Way
Stone Mountain, GA 30088-3938

Phone

(404) 551-3369

NPI assigned

Apr 26, 2010

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1272240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1272240000000",
    "number": "1265759583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4914 FIELDPOINTE WAY",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300883938",
            "telephone_number": "404-551-3369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4914 FIELDPOINTE WAY",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300883938",
            "telephone_number": "404-551-3369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARDING",
        "first_name": "TREVOR",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "PHYSICAL THERAPY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-04-26",
        "last_updated": "2010-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "GA",
            "license": "PTA002169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Saad A Hammid, MD
• Cynthia Marie Hammond
• Blake Austin Hampton, DPT
• Kara Han, DMD
• Louis Mack Hannon
• Crystal Constance Hardy, APNP
• Joy Hardy, CNA
• Tenatia I Hargrove, M.S. CCC-SLP
• Terri Harp, C.A.M.S.
• Cierra Harris

• Physical Therapy Assistant in Stone Mountain, GA
• Providers in Stone Mountain, GA by specialty
• Physical Therapy Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.