Active NPI
Jason Michael Hartung, PTA
- Contractor
- Pittsfield, MA
National Provider Identifier
1962708768
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- License
- 8463
- Practice address
- 255 Lebanon Ave
Pittsfield, MA 01201-7828 - Phone
- (413) 499-2334
- NPI assigned
- Jan 27, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | 8463 | MA | Primary |
Addresses
Primary practice location
255 Lebanon Ave
Pittsfield, MA 01201-7828
Mailing address
268 Central St
Apt 301
Gardner, MA 01440-8312
Phone (978) 602-4746
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
| License | State | Type | Specialty |
|---|---|---|---|
| 8463 | MA | MD | Adult Development & Aging Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1296086400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1296086400000",
"number": "1962708768",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "268 CENTRAL ST",
"address_2": "APT 301",
"city": "GARDNER",
"state": "MA",
"postal_code": "014408312",
"telephone_number": "978-602-4746"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "255 LEBANON AVE",
"city": "PITTSFIELD",
"state": "MA",
"postal_code": "012017828",
"telephone_number": "413-499-2334"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARTUNG",
"first_name": "JASON",
"middle_name": "MICHAEL",
"name_prefix": "Mr.",
"credential": "PTA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-01-27",
"last_updated": "2011-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "MA",
"license": "8463",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pittsfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.