Individual provider Active NPI

Jason Hardacre, PT, DPT

  • Physical Therapist
  • South Burlington, VT
National Provider Identifier
1912763574
Registry record updated Feb 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
040.0134696 Issued in VT
Practice address
89 Rye Cir Ste 1
South Burlington, VT 05403-7632
Phone
(802) 864-0015
NPI assigned
Feb 22, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 040.0134696 VT Primary

Addresses

Primary practice location

89 Rye Cir Ste 1
South Burlington, VT 05403-7632

Mailing address

89 Rye Cir Ste 1
South Burlington, VT 05403-7632

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240318003582 VT Practitioner - Physical Therapist in Private Practice 2264879949 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Catamount Physical Therapy LLCGroup PAC ID 2961567821, 4 clinicians

Practice addresses (Care Compare)

89 Rye Cir
Suite 1
South Burlington, VT 05403-7632
Phone (802) 864-0015

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
040.0134696VTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Catamount Physical Therapy LLC Physical Therapist CurrentSince Feb 23, 2024 Accepting new patients
Lisa M. Stephen PH.D., PC PastSince Feb 23, 2024 Accepting new patients

Locations

89 Rye Cir
#1
South Burlington, VT 05403
Phone (802) 355-9299

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": "1708560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708560000000",
    "number": "1912763574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "89 RYE CIR STE 1",
            "city": "SOUTH BURLINGTON",
            "state": "VT",
            "postal_code": "054037632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "89 RYE CIR STE 1",
            "city": "SOUTH BURLINGTON",
            "state": "VT",
            "postal_code": "054037632",
            "telephone_number": "802-864-0015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARDACRE",
        "first_name": "JASON",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-02-22",
        "last_updated": "2024-02-22",
        "certification_date": "2024-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VT",
            "license": "040.0134696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Burlington, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2024; 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.