Individual provider Active NPI

Justin Hargett

  • Physical Therapy Clinic/Center
  • Russellville, AL
National Provider Identifier
1952716599
Registry record updated Jun 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
PTH7160 Issued in AL
Practice address
15041 Highway 43
Russellville, AL 35653-1973
Phone
(256) 331-0070
Fax
(256) 331-0054
NPI assigned
Jun 23, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X PTH7160 AL Primary

Addresses

Primary practice location

15041 Highway 43
Russellville, AL 35653-1973

Mailing address

1908 Flint Rd SE
Decatur, AL 35601-6031
Phone (256) 340-9708

Other identifiers 2

IdentifierTypeStateIssuer
1003819608OtherALGROUP NPI
529917620MedicaidAL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140917001984 AL Practitioner - Physical Therapist in Private Practice 3678792082 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Encore Rehabilitation, IncGroup PAC ID 3577462126, 182 clinicians

Practice addresses (Care Compare)

1794 S Bethel Rd
Suite C
Decatur, AL 35603-5410
Phone (256) 274-6582

22423 US Hwy 72
Suite C
Athens, AL 35613-2663
Phone (256) 232-1221

2506 Danville Rd SW
Suite 200B
Decatur, AL 35603-4234
Phone (256) 350-6331

5643 Sermon Rd S
B
Theodore, AL 36582-3608
Phone (251) 660-1505

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Encore Rehabilitation, Inc. Physical Therapy Past Accepting new patients
Encore Rehabilitation, Inc. Physical Therapy Past Accepting new patients
Encore Rehabilitation Inc Physical Therapy Past Accepting new patients
Encore Rehabilitation Inc Physical Therapy Past Accepting new patients
Encore Rehabilitation, Inc. Physical Therapy Past Accepting new patients
Encore Rehabilitation, Inc. Physical Therapy Past Accepting new patients
Encore Rehabilitation, Inc. Physical Therapy Past Accepting new patients
Encore Rehabiliation Inc Physical Therapy Past Accepting new patients
Encore Rehabilitation Inc Physical Therapy Past Accepting new patients
Encore Rehabilitation, Inc. Physical Therapy Past Accepting new patients
Encore Rehabilitation, Inc. Physical Therapy Past Accepting new patients
Encore Rehabilitation Inc Physical Therapy Past Accepting new patients
Encore Rehabilitation, Inc. Physical Therapy Past Accepting new patients
Encore Rehabilitation, Inc. Physical Therapy Past Accepting new patients
Encore Rehabilitation, Inc. Physical Therapy Past Accepting new patients
Encore Rehabiliation Inc Physical Therapy Past Accepting new patients
Encore Rehabilitation Inc Physical Therapy Past Accepting new patients
Encore Rehabilitation, Inc. Physical Therapy Past Accepting new patients
Encore Rehabilitation, Inc. Physical Therapy Past Accepting new patients
Encore Rehabilitation Inc Physical Therapy Past Accepting new patients
Encore Rehabilitation, Inc. Physical Therapy Past Accepting new patients
Encore Rehabilitation, Inc. Physical Therapy Past Accepting new patients
Encore Rehabilitation, Inc. Physical Therapy Past Accepting new patients
Encore Rehabilitation, Inc. Physical Therapy Past Accepting new patients
Encore Rehabilitation, Inc. Physical Therapy Past Accepting new patients
Encore Rehabilitation Inc Physical Therapy Past Accepting new patients
Encore Rehabilitation, Inc. Physical Therapy Past Accepting new patients
Encore Rehabilitation, Inc. Physical Therapy Past Accepting new patients
Encore Rehabilitation Inc Physical Therapy Past Accepting new patients
Encore Rehabilitation Inc. Physical Therapy Past Accepting new patients
Encore Rehabilitation, Inc. Physical Therapy Past Accepting new patients
Encore Rehabilitation, Inc. Physical Therapy Past Accepting new patients
Encore Rehabilitation Inc Physical Therapy Past Accepting new patients
Encore Rehabilitation Inc Physical Therapy Past Accepting new patients
Encore Rehabilitation, Inc. Physical Therapy Past Accepting new patients
Encore Rehabilitation, Inc Physical Therapy Past Accepting new patients
Encore Rehabilitation, Inc. Physical Therapy Past Accepting new patients
Encore Rehabilitation, Inc. Physical Therapy Past Accepting new patients
Encore Rehabilitation Inc Physical Therapy Past Accepting new patients
Encore Rehabilitation Inc Physical Therapy Past Accepting new patients
Encore Rehabilitation, Inc. Physical Therapy Past Accepting new patients
Encore Rehabilitation, Inc. Physical Therapy Past Accepting new patients
Encore Rehabilitation Inc Physical Therapy Past Accepting new patients
Encore Rehabilitation, Inc. Physical Therapy Past Accepting new patients
Encore Rehabilitation Inc Physical Therapy Past Accepting new patients
Encore Rehabilitation, Inc. Physical Therapy Past Accepting new patients
Encore Rehabilitation Inc Physical Therapy Past Accepting new patients
Encore Rehabilitation, Inc. Physical Therapy Past Accepting new patients
Encore Rehabilitation Inc Physical Therapy Past Accepting new patients

Organizations & group practices 50

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.

View all 50

NPI Registry JSON

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

{
    "created_epoch": "1403481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403481600000",
    "number": "1952716599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1908 FLINT RD SE",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356016031",
            "telephone_number": "256-340-9708",
            "fax_number": "256-340-9624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15041 HIGHWAY 43",
            "city": "RUSSELLVILLE",
            "state": "AL",
            "postal_code": "356531973",
            "telephone_number": "256-331-0070",
            "fax_number": "256-331-0054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARGETT",
        "first_name": "JUSTIN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-06-23",
        "last_updated": "2014-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "AL",
            "license": "PTH7160",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1003819608",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529917620",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Russellville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2014; 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.