Individual provider Active NPI

Sandi Deanna Hardin, LPTA

  • Physical Therapy Assistant
  • Highland, AR
National Provider Identifier
1518179977
Registry record updated Jun 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
PTA 1445 Issued in AR
Practice address
1 Rebel Cir
Highland, AR 72542-9169
Phone
(870) 307-4383
NPI assigned
May 5, 2007
Last updated
Jun 24, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X PTA 1445 AR Primary

Addresses

Primary practice location

1 Rebel Cir
Highland, AR 72542-9169

Mailing address

109 Goings Ridge Rd
Hardy, AR 72542-8810
Phone (870) 307-4383

Other identifiers 1

IdentifierTypeStateIssuer
142918721MedicaidAR

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

LicenseStateTypeSpecialty
PTA 1445ARMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Hardin Therapy Services Physical Therapy Assistant Current Accepting new patients
Thrive Therapy Solutions LLC CurrentSince Jun 28, 2020 Accepting new patients

Locations

107 N Main St
Salem, AR 72576
Phone (870) 307-4383

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": "1178323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592956800000",
    "number": "1518179977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 GOINGS RIDGE RD",
            "city": "HARDY",
            "state": "AR",
            "postal_code": "725428810",
            "telephone_number": "870-307-4383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 REBEL CIR",
            "city": "HIGHLAND",
            "state": "AR",
            "postal_code": "725429169",
            "telephone_number": "870-307-4383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARDIN",
        "first_name": "SANDI",
        "middle_name": "DEANNA",
        "name_prefix": "Mrs.",
        "credential": "LPTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-05",
        "last_updated": "2020-06-24",
        "certification_date": "2020-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "AR",
            "license": "PTA 1445",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "142918721",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.

Verify at the official NPI Registry.