Hart Spine & Rehab is a medicare enrolled "Clinic/center - Physical Therapy" provider in Montgomery, Alabama. Their current practice location is
4367 Atlanta Hwy, Montgomery, Alabama. You can reach out to their office (for appointments etc.) via phone at
(334) 558-0906.
Hart Spine & Rehab is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Hart Spine & Rehab
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1578835542.
Healthcare Provider's Profile
| Full Name | Hart Spine & Rehab |
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| Type | Facility |
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| Speciality | Clinic/center - Physical Therapy |
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| Location | 4367 Atlanta Hwy, Montgomery, Alabama |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1578835542
- Provider Enumeration Date: 02/06/2012
- Last Update Date: 02/04/2023
Medicare PECOS Information:
- PECOS PAC ID: 9931360948
- Enrollment ID: O20120419000221
Medical Identifiers
Medical identifiers for Hart Spine & Rehab such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1578835542 | NPI | - | NPPES |
| 2056 | Other | AL | STATE LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Secondary |
| 225700000X | Massage Therapist | (* (Not Available)) | Secondary |
| 261QP2000X | Clinic/center - Physical Therapy | (* (Not Available)) | Primary |
| 261QP2300X | Clinic/center - Primary Care | 2056 (Alabama) | Secondary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Hart Spine & Rehab acts as a billing entity for following providers:
| Provider Name | George A Hollon |
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| Provider Type | Practitioner - Chiropractic |
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| Provider Identifiers | NPI Number: 1790858777
PECOS PAC ID: 7315983970
Enrollment ID: I20050707000890 |
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| Provider Name | Tyson Crisman |
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| Provider Type | Practitioner - Physical Therapist In Private Practice |
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| Provider Identifiers | NPI Number: 1306954276
PECOS PAC ID: 6608907894
Enrollment ID: I20100702000335 |
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| Provider Name | Jason R Hart |
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| Provider Type | Practitioner - Chiropractic |
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| Provider Identifiers | NPI Number: 1376633784
PECOS PAC ID: 6406021088
Enrollment ID: I20111209000207 |
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| Provider Name | Ben E Weber |
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| Provider Type | Practitioner - Chiropractic |
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| Provider Identifiers | NPI Number: 1689911596
PECOS PAC ID: 6507011962
Enrollment ID: I20130311000130 |
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| Provider Name | Ladarius Woods |
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| Provider Type | Practitioner - Physical Therapist In Private Practice |
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| Provider Identifiers | NPI Number: 1285034710
PECOS PAC ID: 8729200449
Enrollment ID: I20141113001687 |
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| Provider Name | Tonya A Forbus |
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| Provider Type | Practitioner - Physical Therapist In Private Practice |
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| Provider Identifiers | NPI Number: 1134357452
PECOS PAC ID: 1850765520
Enrollment ID: I20230426003239 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Hart Spine & Rehab is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Hart Spine & Rehab
4367 Atlanta Hwy,
Montgomery, AL 36109-3171
Ph: (334) 558-0906 | Hart Spine & Rehab
4367 Atlanta Hwy,
Montgomery, AL 36109-3171
Ph: (334) 558-0906 |
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