Charles Hart, PT, ATC - in Madison, WI

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Charles Hart, PT, ATC is a Specialist/technologist - Athletic Trainer based in Madison, Wisconsin. Charles Hart is licensed to practice in Wisconsin (license number 234) and his current practice location is 621 Science Dr, Madison, Wisconsin. He can be reached at his office (for appointments etc.) via phone at (608) 265-5699.

NPI number for Charles Hart is 1912992702 and his current mailing address is 4514 Sentinel Pass, Fitchburg, Wisconsin. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1912992702.

Contact Information

Charles Hart, PT, ATC
621 Science Dr,
Madison, WI 53711-1074
(608) 265-5699
Not Available

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Healthcare Provider's Profile

Full NameCharles Hart
GenderMale
SpecialitySpecialist/technologist - Athletic Trainer
Location621 Science Dr, Madison, Wisconsin
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1912992702
  • Provider Enumeration Date: 09/17/2005
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Charles Hart such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1912992702NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2251S0007XPhysical Therapist - Sports 3806 (Wisconsin)Primary
2255A2300XSpecialist/technologist - Athletic Trainer 234 (Wisconsin)Primary

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. Charles Hart is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Charles Hart, PT, ATC
4514 Sentinel Pass,
Fitchburg, WI 53711-4727

Ph: () -		Charles Hart, PT, ATC
621 Science Dr,
Madison, WI 53711-1074

Ph: (608) 265-5699

Reviews and Comments



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