Active NPI
Philip Dennis Hartley, PT
- Physical Therapist
- Erwin, NC
National Provider Identifier
1952702433
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PTH9771
- Practice address
- 705 Old Post Rd
Erwin, NC 28339-2327 - Phone
- (919) 451-7787
- NPI assigned
- Sep 15, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT014756 | GA | |
| Physical Therapist | 225100000X | 6794 | NC | |
| Physical Therapist | 225100000X | PTH9771 | AL | Primary |
Addresses
Primary practice location
705 Old Post Rd
Erwin, NC 28339-2327
Mailing address
PO Box 370
Fortson, GA 31808-0370
Other practice location 1
522 N Center St
Thomaston, GA 30286-3695
Phone (706) 646-4371
Other practice location 2
100 Medical Dr Ste 400
Dublin, GA 31021-2561
Phone (478) 353-1166
Other practice location 3
117 Oakland Pkwy
Leesburg, GA 31763-7201
Phone (229) 420-1839
Other practice location 4
100 N Macon St
Macon, GA 31210-6563
Phone (478) 200-6970
Other practice location 5
512 N Shady Ln
Dothan, AL 36303-2991
Phone (334) 699-5747
Other practice location 6
161 E University Dr
Auburn, AL 36832-5889
Phone (334) 826-2090
Other practice location 7
6262 Veterans Pkwy
Columbus, GA 31909-3540
Phone (706) 324-6661
Other practice location 8
107 Calumet Center Rd
LaGrange, GA 30241-6705
Phone (706) 884-3274
Other practice location 9
4340 Kings Way
Valdosta, GA 31602-6921
Phone (229) 333-9736
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6794 | NC | MD | Counselor |
Interoperability endpoints
- phil.hartley.1@15455.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1410739200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611878400000",
"number": "1952702433",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 370",
"city": "FORTSON",
"state": "GA",
"postal_code": "318080370"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "705 OLD POST RD",
"city": "ERWIN",
"state": "NC",
"postal_code": "283392327",
"telephone_number": "919-451-7787"
}
],
"practiceLocations": [
{
"address_1": "522 N Center St",
"address_purpose": "LOCATION",
"city": "Thomaston",
"state": "GA",
"postal_code": "302863695",
"country_code": "US",
"telephone_number": "706-646-4371",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "100 Medical Dr Ste 400",
"address_purpose": "LOCATION",
"city": "Dublin",
"state": "GA",
"postal_code": "310212561",
"country_code": "US",
"telephone_number": "478-353-1166",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "117 Oakland Pkwy",
"address_purpose": "LOCATION",
"city": "Leesburg",
"state": "GA",
"postal_code": "317637201",
"country_code": "US",
"telephone_number": "229-420-1839",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "100 N Macon St",
"address_purpose": "LOCATION",
"city": "Macon",
"state": "GA",
"postal_code": "312106563",
"country_code": "US",
"telephone_number": "478-200-6970",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "512 N Shady Ln",
"address_purpose": "LOCATION",
"city": "Dothan",
"state": "AL",
"postal_code": "363032991",
"country_code": "US",
"telephone_number": "334-699-5747",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "161 E University Dr",
"address_purpose": "LOCATION",
"city": "Auburn",
"state": "AL",
"postal_code": "368325889",
"country_code": "US",
"telephone_number": "334-826-2090",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6262 Veterans Pkwy",
"address_purpose": "LOCATION",
"city": "Columbus",
"state": "GA",
"postal_code": "319093540",
"country_code": "US",
"telephone_number": "706-324-6661",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "107 Calumet Center Rd",
"address_purpose": "LOCATION",
"city": "LaGrange",
"state": "GA",
"postal_code": "302416705",
"country_code": "US",
"telephone_number": "706-884-3274",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4340 Kings Way",
"address_purpose": "LOCATION",
"city": "Valdosta",
"state": "GA",
"postal_code": "316026921",
"country_code": "US",
"telephone_number": "229-333-9736",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HARTLEY",
"first_name": "PHILIP",
"middle_name": "DENNIS",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-09-15",
"last_updated": "2021-01-29",
"certification_date": "2020-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT014756",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "6794",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AL",
"license": "PTH9771",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Erwin, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.