Active NPI
Michael Christian Hastry, DPT
- Physical Therapist
- Camp Hill, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT025515
- Practice address
- 3399 Trindle Rd
Floor 2
Camp Hill, PA 17011-4407 - Phone
- (717) 920-2620
- Fax
- (717) 920-2621
- NPI assigned
- Aug 4, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | J1-0003910 | DE | |
| Physical Therapist | 225100000X | PT025515 | PA | Primary |
Addresses
Primary practice location
3399 Trindle Rd
Floor 2
Camp Hill, PA 17011-4407
Mailing address
350 New Fidelity CT
Garner, NC 27529-2665
Phone (919) 258-2714
Other practice location 1
1214 Beaver Brook Plz Ste A
New Castle, DE 19720-8632
Phone (302) 544-4388
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DE
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 87.27 of 100
- Quality
- 85
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 73.4
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| J1-0003910 | DE | MD | Physical Therapist |
| PT025515 | PA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dynamic Therapy Services LLC | Physical Therapist | Current | Accepting new patients |
| Dynamic Therapy Services, LLC | Physical Therapist | Current | Accepting new patients |
Locations
120 Sandhill Dr
Ste 3
Middletown, DE 19709
Phone (302) 449-7792
1214 Beaver Brook Plz
Ste A
New Castle, DE 19720
Phone (302) 544-4388
1310 Middleford Rd
Ste 101
Seaford, DE 19973
Phone (302) 629-5700
350 New Fidelity Ct
Garner, NC 27529
Phone (919) 373-2919
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 and National Provider Directory roles.
-
- Physical Therapist
- Seaford, DE
- NPI 1205875093
-
- Occupational Therapist
- Rehoboth Beach, DE
- NPI 1225637051
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1470268800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1618444800000",
"number": "1790239051",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "350 NEW FIDELITY CT",
"city": "GARNER",
"state": "NC",
"postal_code": "275292665",
"telephone_number": "919-258-2714",
"fax_number": "410-648-4878"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3399 TRINDLE RD",
"address_2": "FLOOR 2",
"city": "CAMP HILL",
"state": "PA",
"postal_code": "170114407",
"telephone_number": "717-920-2620",
"fax_number": "717-920-2621"
}
],
"practiceLocations": [
{
"address_1": "1214 Beaver Brook Plz Ste A",
"address_purpose": "LOCATION",
"city": "New Castle",
"state": "DE",
"postal_code": "197208632",
"country_code": "US",
"telephone_number": "302-544-4388",
"fax_number": "302-544-4387",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HASTRY",
"first_name": "MICHAEL",
"middle_name": "CHRISTIAN",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-08-04",
"last_updated": "2021-04-15",
"certification_date": "2021-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "DE",
"license": "J1-0003910",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT025515",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Camp Hill, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2021; 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.