Individual provider Active NPI

Edward Hunter Hardy, P.T., D.P.T.

  • Physical Therapist
  • Tempe, AZ
National Provider Identifier
1710430020
Registry record updated May 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
12430PT Issued in AZ
Practice address
1844 E Baseline Rd Ste C5
Tempe, AZ 85283-1506
Phone
(480) 833-1005
Fax
(480) 833-1312
NPI assigned
Aug 3, 2016
Last updated
May 7, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2020

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 12430PT AZ Primary

Addresses

Primary practice location

1844 E Baseline Rd Ste C5
Tempe, AZ 85283-1506

Mailing address

1844 E Baseline Rd Ste C5
Tempe, AZ 85283-1506
Phone (480) 833-1005

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180115000859 AZ Practitioner - Physical Therapist in Private Practice 6507125762 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Arizona College of Osteopathic Medicine Mid Western University, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Petersen Physical Therapy PCGroup PAC ID 5991794117, 14 clinicians

Practice addresses (Care Compare)

1844 E Baseline Rd
Suite C5
Tempe, AZ 85283-1506
Phone (480) 833-1005

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12430PTAZMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Petersen Physical Therapy PC CurrentSince Jan 2, 2018 Accepting new patients
Arizona Luna Care Physical Therapy, LLC Physical Therapist CurrentSince May 6, 2024 Accepting new patients
Vibrantcare Outpatient Rehabilitation West Inc Past Accepting new patients
Carling Physical Therapy Physical Therapist PastSince Jan 2, 2018 Accepting new patients
Vibrantcare Outpatient Rehabilitation West Inc PastSince Feb 19, 2023 Accepting new patients

Locations

725 W Elliot Rd
Ste 103
Gilbert, AZ 85233
Phone (480) 892-2428

21300 N John Wayne Pkwy
Ste 125
Maricopa, AZ 85139
Phone (520) 568-2723

303 N Centennial Way
Mesa, AZ 85201
Phone (480) 649-3111

6840 E Brown Rd
Ste 104
Mesa, AZ 85207
Phone (480) 719-8080

14050 N 83rd Ave
Ste 290
Peoria, AZ 85381
Phone (623) 261-1362

1844 E Baseline Rd
Ste C5
Tempe, AZ 85283
Phone (480) 833-1005

Organizations & group practices 5

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": "1470182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588809600000",
    "number": "1710430020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1844 E BASELINE RD STE C5",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852831506",
            "telephone_number": "480-833-1005",
            "fax_number": "480-833-1312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1844 E BASELINE RD STE C5",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852831506",
            "telephone_number": "480-833-1005",
            "fax_number": "480-833-1312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARDY",
        "first_name": "EDWARD",
        "middle_name": "HUNTER",
        "name_prefix": "Mr.",
        "credential": "P.T., D.P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-03",
        "last_updated": "2020-05-07",
        "certification_date": "2020-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "12430PT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2020; 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.