Individual provider Active NPI

Todd Hartley, DPT

  • Physical Therapist
  • Mesquite, NV
National Provider Identifier
1295147148
Registry record updated Dec 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
3249 Issued in NV
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

Updated by the provider on Dec 22, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20250818004521 OK Practitioner - Physical Therapist in Private Practice 5395960918 Reassigns benefits to 1 organization

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
HPC Holdings LLCGroup PAC ID 6507123874, 17 clinicians

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

LicenseStateTypeSpecialty
6215OKMDGeneral Practice Dentistry
10924AZMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
HPC Holdings LLC Physical Therapist CurrentSince Jul 28, 2025 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.

Verify at the official NPI Registry.