Active NPI
Todd Hartley, DPT
- Physical Therapist
- Mesquite, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 3249
- Practice address
- 340 Falcon Ridge Pkwy BLDG 500
Mesquite, NV 89027-8850 - Phone
- (702) 346-3105
- Fax
- (702) 346-3544
- NPI assigned
- May 27, 2014
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 10924 | AZ | |
| Physical Therapist | 225100000X | 3249 | NV | Primary |
Addresses
Primary practice location
340 Falcon Ridge Pkwy BLDG 500
Mesquite, NV 89027-8850
Mailing address
340 Falcon Ridge Pkwy BLDG 500
Mesquite, NV 89027-8850
Phone (702) 346-3105
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5608 SE 67TH St
Suite 105
Oklahoma City, OK 73135-1719
Phone (405) 610-7800
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6215 | OK | MD | General Practice Dentistry |
| 10924 | AZ | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| HPC Holdings LLC | Physical Therapist | Current | Accepting new patients |
Locations
1076 W Chandler Blvd
Ste 103
Chandler, AZ 85224
Phone 4808211997116
13801 N Western Ave
Ste B
Edmond, OK 73013
Phone (405) 946-7300
200 N Bryant Ave
Ste 110
Edmond, OK 73034
Phone (405) 471-5444
5608 SE 67th St
Ste 105
Oklahoma City, OK 73135
Phone (405) 254-4199
1200 SW 104th St
Ste A
Oklahoma City, OK 73139
Phone (405) 759-3773
740 S Mustang Rd
Yukon, OK 73099
Phone (405) 494-7070
2600 Dallas Pkwy
Ste 290
Frisco, TX 75034
Phone (945) 260-0010
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1401148800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1450742400000",
"number": "1295147148",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "340 FALCON RIDGE PKWY BLDG 500",
"city": "MESQUITE",
"state": "NV",
"postal_code": "890278850",
"telephone_number": "702-346-3105",
"fax_number": "702-346-3544"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "340 FALCON RIDGE PKWY BLDG 500",
"city": "MESQUITE",
"state": "NV",
"postal_code": "890278850",
"telephone_number": "702-346-3105",
"fax_number": "702-346-3544"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARTLEY",
"first_name": "TODD",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-05-27",
"last_updated": "2015-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "10924",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NV",
"license": "3249",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mesquite, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2015; 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.