Active NPI
Beverly A Hartz, PT, ATC
- Physical Therapist
- Ithaca, NY
National Provider Identifier
1710196282
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 007864-1
- Practice address
- 1001 W Seneca St
Suite 100
Ithaca, NY 14850-3342 - Phone
- (607) 277-8020
- Fax
- (607) 277-7961
- NPI assigned
- May 22, 2007
- Sex
- Female
- 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 | 007864-1 | NY | Primary |
Addresses
Primary practice location
1001 W Seneca St
Suite 100
Ithaca, NY 14850-3342
Mailing address
156 Autumn Ridge Cir
Ithaca, NY 14850-8542
Phone (607) 273-2466
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 |
|---|---|---|---|
| 007864-1 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Franziska Racker Centers Inc | Physical Therapist | Past | Accepting new patients |
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1710196282",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "156 AUTUMN RIDGE CIR",
"city": "ITHACA",
"state": "NY",
"postal_code": "148508542",
"telephone_number": "607-273-2466"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 W SENECA ST",
"address_2": "SUITE 100",
"city": "ITHACA",
"state": "NY",
"postal_code": "148503342",
"telephone_number": "607-277-8020",
"fax_number": "607-277-7961"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARTZ",
"first_name": "BEVERLY",
"middle_name": "A",
"name_prefix": "Mrs.",
"credential": "PT, ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "007864-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ithaca, NY
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.