Active NPI
Scott Hardt
- Physical Therapy Assistant
- Watseka, IL
National Provider Identifier
1437893989
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 160.006891
- Practice address
- 715 E Raymond Rd
Watseka, IL 60970-9730 - Phone
- (815) 432-5476
- NPI assigned
- Apr 21, 2022
- Last updated
- Apr 21, 2022
- 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 Therapy Assistant | 225200000X | 160.006891 | IL | Primary |
Addresses
Primary practice location
715 E Raymond Rd
Watseka, IL 60970-9730
Mailing address
7772 E 4500S Rd
Saint Anne, IL 60964-4081
Phone (815) 530-7255
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4511 | Other | IL | NONE |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 160.006891 | IL | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1650499200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1650499200000",
"number": "1437893989",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7772 E 4500S RD",
"city": "SAINT ANNE",
"state": "IL",
"postal_code": "609644081",
"telephone_number": "815-530-7255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "715 E RAYMOND RD",
"city": "WATSEKA",
"state": "IL",
"postal_code": "609709730",
"telephone_number": "815-432-5476"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARDT",
"first_name": "SCOTT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-04-21",
"last_updated": "2022-04-21",
"certification_date": "2022-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "IL",
"license": "160.006891",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NONE",
"identifier": "4511",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Watseka, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 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.