Active NPI
Deborah Gaddes Hartenstein, OTR CHT
- Occupational Therapist
- Rutland, VT
National Provider Identifier
1326062993
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 0720000005
- Practice address
- 5 Albert Cree Dr
Vermont Sports Medicine Center
Rutland, VT 05701 - Phone
- (802) 775-1300
- Fax
- (802) 773-9300
- NPI assigned
- Jul 27, 2006
- Last updated
- Jan 8, 2009
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Hand Physical Therapist | 2251H1200X | 9105000479 | IL | |
| Occupational Therapist | 225X00000X | 0720000005 | VT | Primary |
Addresses
Primary practice location
5 Albert Cree Dr
Vermont Sports Medicine Center
Rutland, VT 05701
Mailing address
5 Albert Cree Dr
Vermont Sports Medicine Center
Rutland, VT 05701
Phone (802) 775-1300
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 43426 | Other | MVP | |
| 00018798 | Other | VT | BCBS |
| 7534587 | Other | AETNA | |
| OVN2136 | Medicaid | VT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9105000479 | IL | MD | Hand Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1231372800000",
"number": "1326062993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 ALBERT CREE DR",
"address_2": "VERMONT SPORTS MEDICINE CENTER",
"city": "RUTLAND",
"state": "VT",
"postal_code": "05701",
"telephone_number": "802-775-1300",
"fax_number": "802-773-9300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 ALBERT CREE DR",
"address_2": "VERMONT SPORTS MEDICINE CENTER",
"city": "RUTLAND",
"state": "VT",
"postal_code": "05701",
"telephone_number": "802-775-1300",
"fax_number": "802-773-9300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARTENSTEIN",
"first_name": "DEBORAH",
"middle_name": "GADDES",
"credential": "OTR CHT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-27",
"last_updated": "2009-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "2251H1200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Hand",
"state": "IL",
"license": "9105000479",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "VT",
"license": "0720000005",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MVP",
"identifier": "43426",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "00018798",
"state": "VT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7534587",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "OVN2136",
"state": "VT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Rutland, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.