NPIMap

Organization Active NPI

Hardy Physical Therapy Rehabilitation Services Inc

  • Physical Therapist
  • Northborough, MA
National Provider Identifier
1922073295
Registry record updated Jun 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
HARDY PHYSICAL THERAPY REHABILITATION SERVICES INC
Practice address
112 Main St
Northborough, MA 01532-1914
Phone
(508) 393-7298
Fax
(508) 393-1338
NPI assigned
Feb 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2011

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

Authorized official

Name
Mr. Terry Edward Hardy, PT
Title
President
Phone
(508) 393-7298

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

112 Main St
Northborough, MA 01532-1914

Mailing address

112 Main St
Northborough, MA 01532-1914
Phone (508) 393-7298

Other identifiers 3

IdentifierTypeStateIssuer
9722912MedicaidMA
Y65525OtherMABLUE CROSS
700750OtherMATUFTS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040412000508 MA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 1850385022 Receives reassigned benefits from 7 practitioners
Practice locations: Hudson, MA; Northborough, MA

National Provider Directory

National Provider Directory

Locations

205 Washington St
Hudson, MA 01749
Phone (978) 562-3114

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1140480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307404800000",
    "number": "1922073295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 MAIN ST",
            "city": "NORTHBOROUGH",
            "state": "MA",
            "postal_code": "015321914",
            "telephone_number": "508-393-7298",
            "fax_number": "508-393-1338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 MAIN ST",
            "city": "NORTHBOROUGH",
            "state": "MA",
            "postal_code": "015321914",
            "telephone_number": "508-393-7298",
            "fax_number": "508-393-1338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARDY PHYSICAL THERAPY REHABILITATION SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-21",
        "last_updated": "2011-06-07",
        "status": "A",
        "authorized_official_last_name": "HARDY",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "508-393-7298",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9722912",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "Y65525",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "700750",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Northborough, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2011; 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.