Individual provider Active NPI

William Micheal Hardy, PT

  • Physical Therapist
  • Middletown, CT
National Provider Identifier
1568478048
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1192 Issued in CT
Practice address
1251 S Main St
Middletown, CT 06457-5050
Phone
(860) 347-4426
Fax
(860) 704-5998
NPI assigned
Aug 1, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 1192 CT Primary

Addresses

Primary practice location

1251 S Main St
Middletown, CT 06457-5050

Mailing address

1251 S Main St
Middletown, CT 06457-5050
Phone (860) 347-4426

Other identifiers 1

IdentifierTypeStateIssuer
080001192CT01OtherCTBLUE CROSS BLUE SHEILD

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
001192CTMDChiropractor
1192CTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Physical Therapy & Sports Medicine Services, P.C. Physical Therapist PastSince Apr 26, 2012 Accepting new patients
Valley Physical Therapy, LLC Past Accepting new patients

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": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1568478048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1251 S MAIN ST",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064575050",
            "telephone_number": "860-347-4426",
            "fax_number": "860-704-5998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1251 S MAIN ST",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064575050",
            "telephone_number": "860-347-4426",
            "fax_number": "860-704-5998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARDY",
        "first_name": "WILLIAM",
        "middle_name": "MICHEAL",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "1192",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHEILD",
            "identifier": "080001192CT01",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.