Individual provider Active NPI

Deidre B Hart, MSPT

  • Physical Therapist
  • Fairhaven, MA
National Provider Identifier
1295741353
Registry record updated Feb 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
16023 Issued in MA
Practice address
147B Washington St
Fairhaven, MA 02719-4013
Phone
(508) 991-2918
Fax
(508) 994-3068
NPI assigned
Jul 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 16023 MA Primary

Addresses

Primary practice location

147B Washington St
Fairhaven, MA 02719-4013

Mailing address

147B Washington St
Fairhaven, MA 02719-4013
Phone (508) 991-2918

Other practice location 1

536 Hawthorn St
North Dartmouth, MA 02747-3717
Phone (508) 984-4896

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140306001300 MA Practitioner - Physical Therapist in Private Practice 9739120288 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Practice roles

OrganizationSpecialtyStatusNew patients
Synergy Healthcare Corp Physical Therapist CurrentSince Jan 13, 2014 Accepting new patients
Bay State Physical Therapy PC Physical Therapist PastSince Oct 15, 2024 Accepting new patients
Healy Physical Therapy and Sports Medicine Inc Physical Therapist PastSince Jun 9, 2003 Accepting new patients
Specht Orthopedic, Inc. Physical Therapist PastSince Jun 1, 2006 Accepting new patients

Locations

147B Washington St
Fairhaven, MA 02719
Phone (508) 991-2918

Organizations & group practices 4

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": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582070400000",
    "number": "1295741353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "147B WASHINGTON ST",
            "city": "FAIRHAVEN",
            "state": "MA",
            "postal_code": "027194013",
            "telephone_number": "508-991-2918",
            "fax_number": "508-994-3068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "147B WASHINGTON ST",
            "city": "FAIRHAVEN",
            "state": "MA",
            "postal_code": "027194013",
            "telephone_number": "508-991-2918",
            "fax_number": "508-994-3068"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "536 Hawthorn St",
            "address_purpose": "LOCATION",
            "city": "North Dartmouth",
            "state": "MA",
            "postal_code": "027473717",
            "country_code": "US",
            "telephone_number": "508-984-4896",
            "fax_number": "508-984-4899",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HART",
        "first_name": "DEIDRE",
        "middle_name": "B",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-31",
        "last_updated": "2020-02-19",
        "certification_date": "2020-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "16023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairhaven, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.