Active NPI
Micah Kenneth Harder, DPT
- Physical Therapist
- Goddard, KS
National Provider Identifier
1497370670
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- T-05290
- Practice address
- 19931 W Kellogg Dr Unit a
Goddard, KS 67052-8864 - Phone
- (316) 550-6132
- NPI assigned
- Jun 12, 2020
- 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 | T-05290 | KS | Primary |
Addresses
Primary practice location
19931 W Kellogg Dr Unit a
Goddard, KS 67052-8864
Mailing address
19931 W Kellogg Dr Unit a
Goddard, KS 67052-8864
Phone (316) 550-6132
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1591920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1591920000000",
"number": "1497370670",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19931 W KELLOGG DR UNIT A",
"city": "GODDARD",
"state": "KS",
"postal_code": "670528864",
"telephone_number": "316-550-6132"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19931 W KELLOGG DR UNIT A",
"city": "GODDARD",
"state": "KS",
"postal_code": "670528864",
"telephone_number": "316-550-6132"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARDER",
"first_name": "MICAH",
"middle_name": "KENNETH",
"name_prefix": "Mr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-06-12",
"last_updated": "2020-06-12",
"certification_date": "2020-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "KS",
"license": "T-05290",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Goddard, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.