Kiplin Matthew Hartman Sr., DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501013363 Issued in MI

Practice address

1455 W Fair Ave
Marquette, MI 49855-2654

Phone

(906) 226-0574

Fax

(888) 347-1135

NPI assigned

Jul 2, 2007

Last updated

Jan 18, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Marquette Rehabilitation & Sports Medicine Center

  • Physical Therapy Clinic/Center
  • Marquette, MI
  • NPI 1376771287

  Physical Therapist

  Medicare reassignment NPD Authorized official
• Body Mechanix Physical Therapy of Escanaba, LLC

  • Physical Therapist
  • Escanaba, MI
  • NPI 1942398821
  NPD (past)
• Body Mechanix Physical Therapy of Marquette, LLC

  • Physical Therapist
  • Marquette, MI
  • NPI 1700974623
  NPD (past)
• Superior Active Partners LLC

  dba Active Physical Therapy - Ishpeming

  • Physical Therapy Clinic/Center
  • Ishpeming, MI
  • NPI 1982045001

  Physical Therapist

  NPD (past)
• Up Rehab Services LLC

  • Physical Therapist
  • Kingsford, MI
  • NPI 1821148529
  NPD (past)

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

{
    "created_epoch": "1183334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642464000000",
    "number": "1861699878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1455 W FAIR AVE",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498552654",
            "telephone_number": "906-226-0574",
            "fax_number": "888-347-1135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1455 W FAIR AVE",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498552654",
            "telephone_number": "906-226-0574",
            "fax_number": "888-347-1135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTMAN",
        "first_name": "KIPLIN",
        "middle_name": "MATTHEW",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-02",
        "last_updated": "2022-01-18",
        "certification_date": "2022-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501013363",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1861699878",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PTAN",
            "identifier": "P01146792",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily Harris, LLMSW
• Endla Harris
• Larry Mark Harris, LMSW
• Mary Ruth Harris, LMSW
• Tyler Harris, AT
• Bradley Glenn Harvala, PHARMD.
• Harvey Dental Clinic PC
• Leanne M Hatfield, M.D.
• Taylor Haupt, RN
• Amy Hautau Snyder, P.A.

• Physical Therapist in Marquette, MI
• Providers in Marquette, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2022; 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.