Active NPI
Robert Todd Hartle, D.A, C.M.T.
- Massage Therapist
- Newport Beach, CA
National Provider Identifier
1770934614
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 60082
- Practice address
- 1600 Dove St
Suite 100
Newport Beach, CA 92660-2432 - Phone
- (949) 502-3388
- NPI assigned
- Jun 22, 2016
- 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 |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 60082 | CA | Primary |
Addresses
Primary practice location
1600 Dove St
Suite 100
Newport Beach, CA 92660-2432
Mailing address
2555 Main St
Apt 1070
Irvine, CA 92614-3201
Phone (949) 351-4714
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 |
|---|---|---|---|
| 60082 | CA | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1466553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1466553600000",
"number": "1770934614",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2555 MAIN ST",
"address_2": "APT 1070",
"city": "IRVINE",
"state": "CA",
"postal_code": "926143201",
"telephone_number": "949-351-4714"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 DOVE ST",
"address_2": "SUITE 100",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926602432",
"telephone_number": "949-502-3388"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARTLE",
"first_name": "ROBERT",
"middle_name": "TODD",
"name_prefix": "Dr.",
"credential": "D.A, C.M.T.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-06-22",
"last_updated": "2016-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CA",
"license": "60082",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newport Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.