Active NPI
Mickey Ann Hardcastle, PTA
- Physical Therapy Assistant
- Foley, AL
National Provider Identifier
1992194682
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- PTA6619
- Practice address
- 1701 N Alston St
Foley, AL 36535-2246 - Phone
- (251) 943-2781
- NPI assigned
- Jan 18, 2015
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | PTA6619 | AL | Primary |
Addresses
Primary practice location
1701 N Alston St
Foley, AL 36535-2246
Mailing address
9137 Feather TRL
Fairhope, AL 36532-7611
Phone (251) 990-3950
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 |
|---|---|---|---|
| PTA6619 | AL | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1421539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1421539200000",
"number": "1992194682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9137 FEATHER TRL",
"city": "FAIRHOPE",
"state": "AL",
"postal_code": "365327611",
"telephone_number": "251-990-3950"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1701 N ALSTON ST",
"city": "FOLEY",
"state": "AL",
"postal_code": "365352246",
"telephone_number": "251-943-2781"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARDCASTLE",
"first_name": "MICKEY",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-01-18",
"last_updated": "2015-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "AL",
"license": "PTA6619",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Foley, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.