Provider Demographics
NPI:1003968959
Name:HARTMAN REHABILITATION ASSOCIATES
Entity Type:Organization
Organization Name:HARTMAN REHABILITATION ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:STUART
Authorized Official - Middle Name:ALLEN
Authorized Official - Last Name:HARTMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:717-272-1050
Mailing Address - Street 1:PO BOX 1110
Mailing Address - Street 2:
Mailing Address - City:LEBANON
Mailing Address - State:PA
Mailing Address - Zip Code:17042
Mailing Address - Country:US
Mailing Address - Phone:717-272-1050
Mailing Address - Fax:717-272-1740
Practice Address - Street 1:341 CUMBERLAND ST
Practice Address - Street 2:1ST FLOOR
Practice Address - City:LEBANON
Practice Address - State:PA
Practice Address - Zip Code:17042-5547
Practice Address - Country:US
Practice Address - Phone:717-272-1050
Practice Address - Fax:717-272-1740
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-18
Last Update Date:2014-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS-005144-L208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1035851Medicaid
C28376Medicare UPIN
PA001036Medicare ID - Type Unspecified