Active NPI
Trevor Lee Harting, PT
- Physical Therapist
- Baxter, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 6367
- Practice address
- 14884 Kirkwood Drive
Baxter, MN 56425 - Phone
- (218) 824-5027
- Fax
- (218) 824-8011
- NPI assigned
- May 27, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 6367 | MN | Primary |
Addresses
Primary practice location
14884 Kirkwood Drive
Baxter, MN 56425
Mailing address
14884 Kirkwood Drive
Baxter, MN 56425
Phone (218) 824-5027
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
14884 Kirkwood Dr
Baxter, MN 56425-8451
Phone (218) 824-5027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6367 | MN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Select Urgent Care LLC | Current | Accepting new patients | |
| Select Therapy, Inc. | Physical Therapist | Current | Accepting new patients |
| Select Therapy, Inc. | Past | Accepting new patients | |
| Select Therapy, Inc. | Past | Accepting new patients |
Locations
14133 Edgewood Dr
Baxter, MN 56425
Phone (218) 454-5802
7656 Design Rd
Ste 400
Baxter, MN 56425
14884 Kirkwood Dr
Brainerd, MN 56425
Phone (218) 824-8011
35544 Sand Pointe Dr
#A
Crosslake, MN 56442
Phone (218) 692-5020
190 Central Ave S
Milaca, MN 56353
Phone (224) 487-4368
Interoperability endpoints
- https://api.platform.athenahealth.com/28265/brand/1/csg/1/fhir/r4
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.
-
- Physical Therapist
- Baxter, MN
- NPI 1033103742
-
- Clinic/Center
- Baxter, MN
- NPI 1952063158
-
- Physical Therapy Clinic/Center
- Pequot Lakes, MN
- NPI 1437011996
-
- Physical Therapy Clinic/Center
- Pequot Lakes, MN
- NPI 1962340323
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1219276800000",
"number": "1386691210",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14884 KIRKWOOD DRIVE",
"city": "BAXTER",
"state": "MN",
"postal_code": "56425",
"telephone_number": "218-824-5027",
"fax_number": "218-824-8011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14884 KIRKWOOD DRIVE",
"city": "BAXTER",
"state": "MN",
"postal_code": "56425",
"telephone_number": "218-824-5027",
"fax_number": "218-824-8011"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARTING",
"first_name": "TREVOR",
"middle_name": "LEE",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-27",
"last_updated": "2008-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MN",
"license": "6367",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baxter, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2008; 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.