Individual provider Active NPI

Gregory Robert Hart, MARCIA HART

  • Physical Therapist
  • Rapid City, SD
National Provider Identifier
1386739829
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
0548 Issued in SD
Practice address
2006 Mt Rushmore Rd
Rapid City, SD 57702-5770
Phone
(605) 342-3110
Fax
(605) 342-3120
NPI assigned
Oct 3, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 0548 SD Primary

Addresses

Primary practice location

2006 Mt Rushmore Rd
Rapid City, SD 57702-5770

Mailing address

13821 Clydesdale Rd
Rapid City, SD 57702-5770
Phone (605) 348-3878

Other names 1

  • Greg R Hart Other name

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

LicenseStateTypeSpecialty
0548SDMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Hart Physical Therapy Inc PastSince Jun 1, 2016 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1386739829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13821 CLYDESDALE RD",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577025770",
            "telephone_number": "605-348-3878",
            "fax_number": "605-342-3120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2006 MT RUSHMORE RD",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577025770",
            "telephone_number": "605-342-3110",
            "fax_number": "605-342-3120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HART",
        "first_name": "GREGORY",
        "middle_name": "ROBERT",
        "credential": "MARCIA HART",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SD",
            "license": "0548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GREG",
            "last_name": "HART",
            "middle_name": "R",
            "credential": "MARCIA HART",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Rapid City, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.