Individual provider Active NPI

Norman G. Hardman, PT

  • Physical Therapist
  • San Diego, CA
National Provider Identifier
1306840657
Registry record updated Dec 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 25540 Issued in CA
Practice address
6280 Jackson Dr Ste 4C
San Diego, CA 92119-3436
Phone
(619) 417-9532
NPI assigned
Jun 1, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 16, 2009

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 PT 25540 CA Primary

Addresses

Primary practice location

6280 Jackson Dr Ste 4C
San Diego, CA 92119-3436

Mailing address

4415 Avocado Blvd
La Mesa, CA 91941-7129
Phone (619) 417-9532

Other identifiers 1

IdentifierTypeStateIssuer
OPT 255400OtherCABLUE SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040514000577 CA Practitioner - Physical Therapist in Private Practice 6305836081 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT 25540CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
On the Move Rehab Physical Therapist CurrentSince Nov 1, 2018 Accepting new patients
Family Care Physical Therapy, Inc CurrentSince Oct 2, 2020 Accepting new patients
JC Chiropractic, P.C. Past Accepting new patients
Elnel, Inc. a California Corporation Total Physical Therapy Physical Therapist PastSince Sep 15, 2014 Accepting new patients
MDRS Spine & Sport, Inc Physical Therapist Past Accepting new patients
MDRS Spine & Sport, Inc Physical Therapist Past Accepting new patients

Locations

1071 Broadway
El Cajon, CA 92021
Phone (619) 442-6686

Organizations & group practices 6

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": "1117584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260921600000",
    "number": "1306840657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4415 AVOCADO BLVD",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919417129",
            "telephone_number": "619-417-9532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6280 JACKSON DR STE 4C",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921193436",
            "telephone_number": "619-417-9532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARDMAN",
        "first_name": "NORMAN",
        "middle_name": "G.",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-01",
        "last_updated": "2009-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT 25540",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "OPT 255400",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2009; 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.