Individual provider Active NPI

Michael Christian Hastry, DPT

  • Physical Therapist
  • Camp Hill, PA
National Provider Identifier
1790239051
Registry record updated Apr 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT025515 Issued in PA
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

Updated by the provider on Apr 15, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20181009000739 DE Practitioner - Physical Therapist in Private Practice 2062708324 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
87.27 of 100Reported as group
Quality
85
Promoting interoperability
99
Improvement activities
40
Cost
73.4

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
J1-0003910DEMDPhysical Therapist
PT025515PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Dynamic Therapy Services LLC Physical Therapist CurrentSince Oct 27, 2022 Accepting new patients
Dynamic Therapy Services, LLC Physical Therapist CurrentSince Oct 27, 2022 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.

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.

Verify at the official NPI Registry.