Active NPI
William Micheal Hardy, PT
- Physical Therapist
- Middletown, CT
National Provider Identifier
1568478048
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1192
- 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, 2007
- 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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 080001192CT01 | Other | CT | BLUE 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
| License | State | Type | Specialty |
|---|---|---|---|
| 001192 | CT | MD | Chiropractor |
| 1192 | CT | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valley Physical Therapy & Sports Medicine Services, P.C. | Physical Therapist | Past | 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.
-
- Physical Therapist
- Marlborough, CT
- NPI 1841381969
-
- Specialist
- Marlborough, CT
- NPI 1841525904
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
- Agata Katarzyna Harabasz, MD
- Harbor Hill Care Center, Inc. (Water's Edge Center for Health and Rehabilitation)
- Harborpark Obstetrics and Gynecology, LLC
- Elin Hardenberg, LCSW
- Brittany Hardy, LCSW
- Nirav Haribhakti, MD
- Mary Harkin, M.D.
- Charles C Harpin Jr., LCSW
- Grace Harrington, LPC
- Russell John Harrington, LCSW
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.