Individual provider Active NPI

Trevor Lee Harting, PT

  • Physical Therapist
  • Baxter, MN
National Provider Identifier
1386691210
Registry record updated Aug 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
6367 Issued in MN
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

Updated by the provider on Aug 21, 2008

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 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

Enrollment IDStateProvider typePAC IDDetails
I20040406000415 MN Practitioner - Physical Therapist in Private Practice 3476546458 Reassigns benefits to 2 organizations

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
Select Therapy IncGroup PAC ID 3577566496, 8 clinicians

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

LicenseStateTypeSpecialty
6367MNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Select Urgent Care LLC CurrentSince Jul 1, 2023 Accepting new patients
Select Therapy, Inc. Physical Therapist CurrentSince Jun 1, 2006 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

  • FHIR API: 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.

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.

Verify at the official NPI Registry.