Provider Demographics
NPI:1417088014
Name:HARTLAND, JAMES NATHAN (PT)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:NATHAN
Last Name:HARTLAND
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:244 W LONG CREEK CV
Mailing Address - Street 2:
Mailing Address - City:LONGWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:32750-3407
Mailing Address - Country:US
Mailing Address - Phone:407-260-1622
Mailing Address - Fax:
Practice Address - Street 1:515 W STATE ROAD 434 STE 310
Practice Address - Street 2:
Practice Address - City:LONGWOOD
Practice Address - State:FL
Practice Address - Zip Code:32750-5163
Practice Address - Country:US
Practice Address - Phone:407-834-1034
Practice Address - Fax:407-834-2789
Is Sole Proprietor?:No
Enumeration Date:2007-03-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT 19248225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist