Individual provider Active NPI

Joseph M Hart III, ATC

  • Athletic Trainer
  • Charlottesville, VA
National Provider Identifier
1891151197
Registry record updated Jan 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
0126000331 Issued in VA
Practice address
210 Emmet St S
Box 400407
Charlottesville, VA 22903-2455
Phone
(434) 924-6187
NPI assigned
Jan 4, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X 0126000331 VA Primary

Addresses

Primary practice location

210 Emmet St S
Box 400407
Charlottesville, VA 22903-2455

Mailing address

210 Emmet St S
Box 400407
Charlottesville, VA 22903-2455
Phone (434) 924-6187

Other identifiers 2

IdentifierTypeStateIssuer
0126000331OtherVAVIRGINIA DEPARTMENT OF HEALTH PROFESSIONS LICENSE
079702460OtherNATABOC CERTIFICATION NUMBER

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

LicenseStateTypeSpecialty
0126000331VAMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1451865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451865600000",
    "number": "1891151197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 EMMET ST S",
            "address_2": "BOX 400407",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229032455",
            "telephone_number": "434-924-6187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 EMMET ST S",
            "address_2": "BOX 400407",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229032455",
            "telephone_number": "434-924-6187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HART",
        "first_name": "JOSEPH",
        "middle_name": "M",
        "name_suffix": "III",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-01-04",
        "last_updated": "2016-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "VA",
            "license": "0126000331",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VIRGINIA DEPARTMENT OF HEALTH PROFESSIONS LICENSE",
            "identifier": "0126000331",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATABOC CERTIFICATION NUMBER",
            "identifier": "079702460",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlottesville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 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.

Verify at the official NPI Registry.