Individual provider Active NPI

Jeffrey Tate Hartley, DPT, CSCS

  • Physical Therapist
  • College Station, TX
National Provider Identifier
1588252241
Registry record updated Aug 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1342042 Issued in TX
Practice address
3024 Texas Ave S
College Station, TX 77845-5048
Phone
(903) 363-3391
NPI assigned
Jan 7, 2021
Last updated
Aug 7, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 7, 2025

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 1342042 TX Primary

Addresses

Primary practice location

3024 Texas Ave S
College Station, TX 77845-5048

Mailing address

246 Stuttgart Cir
College Station, TX 77845-3943
Phone (903) 363-3391

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220929003908 TX Practitioner - Physical Therapist in Private Practice 9335525252 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3024 Texas Ave S
College Station, TX 77845-5048
Phone (903) 363-3391

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1342042TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Recalibrate Osteopractic & Wellness, PLLC Physical Therapist CurrentSince Jan 5, 2025 Accepting new patients

Locations

2551 Texas Ave S
Ste J
College Station, TX 77840
Phone (903) 363-3391

3024 Texas Ave S
College Station, TX 77845
Phone (903) 363-3391

Organizations & group practices 1

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": "1609977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754524800000",
    "number": "1588252241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "246 STUTTGART CIR",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778453943",
            "telephone_number": "903-363-3391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3024 TEXAS AVE S",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778455048",
            "telephone_number": "903-363-3391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTLEY",
        "first_name": "JEFFREY",
        "middle_name": "TATE",
        "credential": "DPT, CSCS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-01-07",
        "last_updated": "2025-08-07",
        "certification_date": "2025-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1342042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in College Station, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.