Noah Hartline

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

11964 Issued in LA

Practice address

235 Fairburn Ave
Benton, LA 71006-3502

Phone

(318) 935-9075

Fax

(318) 935-9076

NPI assigned

Jan 30, 2025

Last updated

Jan 30, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Benton Physical Therapy, LLCGroup PAC ID 2769740737, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Benton Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Benton, LA
  • NPI 1972013969
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1738195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738195200000",
    "number": "1972316131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 FAIRBURN AVE",
            "city": "BENTON",
            "state": "LA",
            "postal_code": "710063502",
            "telephone_number": "318-935-9075",
            "fax_number": "318-935-9076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 FAIRBURN AVE",
            "city": "BENTON",
            "state": "LA",
            "postal_code": "710063502",
            "telephone_number": "318-935-9075",
            "fax_number": "318-935-9076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTLINE",
        "first_name": "NOAH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-01-30",
        "last_updated": "2025-01-30",
        "certification_date": "2025-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "11964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christy Leah Gonzalez, LOTR
• Kourtney Kennedy Gonzalez, PST. 020858
• Amanda Griggs, LPC
• Grow & Tell LLC
• Hard Parts & Supplies Inc (Benton Medical & Nursing Supplies)
• George D Heard
• Heart of Louisiana Transportation Services
• Michael J Hebert, PA-C
• Robert E Hewlett III, D.V.M
• Otissicia Lateac Hill, RN, BSN

• Physical Therapist in Benton, LA
• Providers in Benton, LA by specialty
• Physical Therapist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2025; 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.