Individual provider Active NPI

Stephanie Anne Hardy, DPT

  • Physical Therapist
  • Savannah, GA
National Provider Identifier
1619785565
Registry record updated Dec 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT016477 Issued in GA
Practice address
322 Commercial Dr Ste a
Savannah, GA 31406-3625
Phone
(912) 499-0836
NPI assigned
Dec 24, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 24, 2024

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 PT016477 GA Primary

Addresses

Primary practice location

322 Commercial Dr Ste a
Savannah, GA 31406-3625

Mailing address

112 Cumberland Way
Savannah, GA 31407-4818
Phone (719) 313-6682

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250222000000 GA Practitioner - Physical Therapist in Private Practice 9638699549 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Olympia Innovations LLCGroup PAC ID 0244688604, 13 clinicians

Practice addresses (Care Compare)

322 Commercial Dr
Suite a
Savannah, GA 31406-3625
Phone (912) 499-0836

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT016477GAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Olympia Innovations LLC Physical Therapist CurrentSince Jan 15, 2025 Accepting new patients
Flint River Physical Therapy LLC Physical Therapist CurrentSince Dec 29, 2024 Accepting new patients

Locations

322 Commercial Dr
Ste A
Savannah, GA 31406
Phone (843) 969-1000

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1734998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734998400000",
    "number": "1619785565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 CUMBERLAND WAY",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314074818",
            "telephone_number": "719-313-6682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "322 COMMERCIAL DR STE A",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314063625",
            "telephone_number": "912-499-0836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARDY",
        "first_name": "STEPHANIE",
        "middle_name": "ANNE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-24",
        "last_updated": "2024-12-24",
        "certification_date": "2024-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT016477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2024; 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.