Individual provider Active NPI

Robbilyn Jeter Hardage, P.T.

  • Physical Therapist
  • Irving, TX
National Provider Identifier
1740491950
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1033777 Issued in TX
Practice address
8615 Freeport Pkwy Ste 225
Irving, TX 75063-1984
Phone
(972) 812-3299
NPI assigned
May 28, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 1033777 TX Primary

Addresses

Primary practice location

8615 Freeport Pkwy Ste 225
Irving, TX 75063-1984

Mailing address

3800 Amherst Ave
Dallas, TX 75225-7104
Phone (214) 363-9405

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160923001405 TX Practitioner - Physical Therapist in Private Practice 5496042111 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Vista JV Partners LLC Physical Therapist CurrentSince Apr 3, 2023 Accepting new patients
Vista Rehab Partners LP Physical Therapist PastSince Nov 18, 2024 Accepting new patients

Locations

1101 Raintree Cir
Ste 150
Allen, TX 75013
Phone (214) 383-9939

3535 Travis St
Ste 160
Dallas, TX 75204
Phone (214) 346-9105

12228 N Central Expy
Ste 300
Dallas, TX 75243
Phone (469) 706-3760

10233 E Northwest Hwy
Ste 410
Dallas, TX 75238
Phone (469) 221-9203

11661 Preston Rd
Ste 173
Dallas, TX 75230
Phone (214) 265-7200

Organizations & group practices 3

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": "1180310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1740491950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 AMHERST AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752257104",
            "telephone_number": "214-363-9405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8615 FREEPORT PKWY STE 225",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750631984",
            "telephone_number": "972-812-3299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARDAGE",
        "first_name": "ROBBILYN",
        "middle_name": "JETER",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1033777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

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.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.