Individual provider Active NPI

Robert Hartman, MSPT

  • Physical Therapist
  • Plains, PA
National Provider Identifier
1366472474
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT011898L Issued in PA
Practice address
220 S River St
C/O Adult Services Unlimited T/a Riverside Rehab
Plains, PA 18705-1137
Phone
(570) 824-3444
Fax
(570) 824-4021
NPI assigned
Jul 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 PT011898L PA Primary

Addresses

Primary practice location

220 S River St
C/O Adult Services Unlimited T/a Riverside Rehab
Plains, PA 18705-1137

Mailing address

220 S River St
C/O Adult Services Unlimited T/a Riverside Rehab
Plains, PA 18705-1137
Phone (570) 824-3444

Other identifiers 4

IdentifierTypeStateIssuer
7937018OtherPAAETNA HMO
50031893OtherPACAPITAL BLUE CROSS
815719OtherPAFIRST PRIORITY PROVIDER #
372927OtherPABLUE SHIELD GROUP #

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190429001456 PA Practitioner - Physical Therapist in Private Practice 3173795846 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT011898LPAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Keystone Rehabilitation Systems, Inc. Current Accepting new patients
Keystone Rehabilitation Systems, Inc. CurrentSince Mar 1, 2019 Accepting new patients
Rehabclinics SPT, Inc. CurrentSince Jun 1, 2021 Accepting new patients
Rehabclinics (SPT), Inc. Physical Therapist Current Accepting new patients
Rehabclinics SPT, Inc. CurrentSince Jun 1, 2021 Accepting new patients
Keystone Rehabilitation Systems, Inc. CurrentSince Mar 1, 2019 Accepting new patients

Locations

3109 Green Garden Rd
#50219
Aliquippa, PA 15001
Phone (724) 378-8228

725 Cherrington Pkwy
Ste 200
Moon Twp, PA 15108
Phone (412) 262-7800

604 Commons Dr
Ste D3
Oxford, PA 19363
Phone (610) 932-3619

648 N Main St
Taylor, PA 18517
Phone (570) 348-1101

Organizations & group practices 7

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": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366472474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 S RIVER ST",
            "address_2": "C/O ADULT SERVICES UNLIMITED T/A RIVERSIDE REHAB",
            "city": "PLAINS",
            "state": "PA",
            "postal_code": "187051137",
            "telephone_number": "570-824-3444",
            "fax_number": "570-824-4021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 S RIVER ST",
            "address_2": "C/O ADULT SERVICES UNLIMITED T/A RIVERSIDE REHAB",
            "city": "PLAINS",
            "state": "PA",
            "postal_code": "187051137",
            "telephone_number": "570-824-3444",
            "fax_number": "570-824-4021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTMAN",
        "first_name": "ROBERT",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT011898L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "7937018",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS",
            "identifier": "50031893",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST PRIORITY PROVIDER #",
            "identifier": "815719",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD GROUP #",
            "identifier": "372927",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plains, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.