Individual provider Active NPI

Patricia Hart, D.O.

  • Neuromusculoskeletal Medicine & OMM Physician
  • Kirkville, NY
National Provider Identifier
1497827877
Registry record updated May 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuromusculoskeletal Medicine & OMM PhysicianTaxonomy code 204D00000X
License
212594-1 Issued in NY
Practice address
7548 Manlius Center Rd Apt 1
Kirkville, NY 13082-9327
Phone
(315) 729-8936
NPI assigned
Nov 14, 2006
Last updated
May 6, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 6, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neuromusculoskeletal Medicine & OMM Physician 204D00000X 212594-1 NY Primary
Physical Medicine & Rehabilitation Physician 208100000X 212594 NY

Addresses

Primary practice location

7548 Manlius Center Rd Apt 1
Kirkville, NY 13082-9327

Mailing address

PO Box 217
Manlius, NY 13104-0217
Phone (315) 729-8936

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140320002009 NY Practitioner - Physical Medicine and Rehabilitation 0749411502 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
212594-1NYMDNeuromusculoskeletal Medicine & OMM Physician
212594NYMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
United Health Services Hospitals, Inc. CurrentSince Dec 1, 2013 Accepting new patients
Chittenango Center LLC Past Accepting new patients

Locations

40 Arch St
Johnson City, NY 13790
Phone (607) 763-6075

Organizations & group practices 2

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": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651795200000",
    "number": "1497827877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 217",
            "city": "MANLIUS",
            "state": "NY",
            "postal_code": "131040217",
            "telephone_number": "315-729-8936",
            "fax_number": "315-422-3641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7548 MANLIUS CENTER RD APT 1",
            "city": "KIRKVILLE",
            "state": "NY",
            "postal_code": "130829327",
            "telephone_number": "315-729-8936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HART",
        "first_name": "PATRICIA",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-14",
        "last_updated": "2022-05-06",
        "certification_date": "2022-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "NY",
            "license": "212594-1",
            "primary": true
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "212594",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kirkville, NY

Sources for this page

Verify at the official NPI Registry.