Hartford Rehab and Welness, LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

PTA3669 Issued in AL

Legal business name

HARTFORD REHAB AND WELNESS, LLC

Practice address

102 S 4TH Ave
Hartford, AL 36344-1615

Phone

(334) 588-2323

NPI assigned

May 12, 2008

Last updated

May 12, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Deborah Lynn Brunson, LPTANPI 1396927265

Title

Owner/Manager

Phone

(334) 588-2323

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Deborah L. Brunson, LPTA

  • Physical Therapy Assistant
  • Hartford, AL
  • NPI 1396927265
  NPD (past) Authorized official
• Debra H Johnson, PT

  • Physical Therapist
  • Dothan, AL
  • NPI 1700948700
  NPD (past)

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

{
    "created_epoch": "1210550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210550400000",
    "number": "1740457597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 S 4TH AVE",
            "city": "HARTFORD",
            "state": "AL",
            "postal_code": "363441615",
            "telephone_number": "334-588-2323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 S 4TH AVE",
            "city": "HARTFORD",
            "state": "AL",
            "postal_code": "363441615",
            "telephone_number": "334-588-2323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARTFORD REHAB AND WELNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-12",
        "last_updated": "2008-05-12",
        "status": "A",
        "authorized_official_last_name": "BRUNSON",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "334-588-2323",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPTA"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "AL",
            "license": "PTA3669",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE BROSS BLUE SHEILD",
            "identifier": "515-46442",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brandie L Hall, LPTA
• Arga Harsa, COTA/L
• Hart Industries, LLC (Hartford Family Dentistry)
• Kirby Lamar Hart III, DMD
• Hartford Pharmacy LLC (Dalton Pharmacy)
• Beate Holmes, M.S. LPC
• Sandra Deann Hunter
• Sabrena Michelle Jerkins
• Sue Ellen Kelley, R. PH.
• Richard Thomas Kennedy, M.D.

• Specialist in Hartford, AL
• Providers in Hartford, AL by specialty
• Specialist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.