Richard H Hart, PT
Individual provider Active NPI Physical Therapist · Bridgton, ME
NPI 1629526306 · NPPES record last updated Sep 12, 2016
Key facts
- NPI
- 1629526306
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- ME164 (ME)
- Practice address
- 10 Hospital Dr
Bridgton, ME 04009-1148 - Phone
- (207) 647-6145
- Fax
- (207) 647-6065
- NPI assigned
- Sep 12, 2016
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME164 | ME | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | ME164 | ME | Yes |
Addresses
Primary practice location
10 Hospital Dr
Bridgton, ME 04009-1148
Mailing address
10 Hospital Dr
Bridgton, ME 04009-1148
Phone (207) 647-6145
Other providers in Bridgton, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 12, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.