Active NPI
Kevin Martin Hurlbut, M.D.
- Physical Medicine & Rehabilitation Physician
- Fayetteville, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- N-8015
- Practice address
- 153 E Monte Painter Dr
Fayetteville, AR 72703-4002 - Phone
- (479) 444-2207
- Fax
- (479) 444-2381
- NPI assigned
- Jun 10, 2005
- Last updated
- Apr 2, 2008
- Sex
- Male
- Sole proprietor
- Yes
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 Medicine & Rehabilitation Physician | 208100000X | N-8015 | AR | Primary |
Addresses
Primary practice location
153 E Monte Painter Dr
Fayetteville, AR 72703-4002
Mailing address
PO Box 8638
Fayetteville, AR 72703-0011
Phone (479) 444-2207
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 14676770802 | Other | AR | GROUP NPI |
Other names 1
- Marty Hurlbut
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Medicine and Rehabilitation
- Education
- University of Kansas School of Med (KC/Wich/Sal), 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
153 E Monte Painter Dr
Fayetteville, AR 72703-4002
Phone (479) 444-2200
210 Rice St
Berryville, AR 72616-4388
Phone (870) 423-6789
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marty Hurlbut, M.D., PA | Physical Medicine & Rehabilitation | Current | Accepting new patients |
Locations
153 E Monte Painter Dr
Fayetteville, AR 72703
Phone (479) 444-2200
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Medicine & Rehabilitation Physician
- Fayetteville, AR
- NPI 1467670802
-
- Physical Therapy Clinic/Center
- Berryville, AR
- NPI 1700843612
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Mercy Hospital Northwest Arkansas
- General Acute Care Hospital
- Rogers, AR
- NPI 1316902414
-
dba Encompass Health Rehab Hospital, a partner of Washington Regional
- Rehabilitation Hospital
- Fayetteville, AR
- NPI 1265406102
Inpatient rehabilitation facility
-
- General Acute Care Hospital
- Fayetteville, AR
- NPI 1083609150
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118361600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207094400000",
"number": "1730183492",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8638",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "727030011",
"telephone_number": "479-444-2207",
"fax_number": "479-444-2381"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "153 E MONTE PAINTER DR",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "727034002",
"telephone_number": "479-444-2207",
"fax_number": "479-444-2381"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HURLBUT",
"first_name": "KEVIN",
"middle_name": "MARTIN",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-06-10",
"last_updated": "2008-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "AR",
"license": "N-8015",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP NPI",
"identifier": "14676770802",
"state": "AR"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MARTY",
"last_name": "HURLBUT",
"credential": "M.D.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Fayetteville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.