Provider Demographics
NPI:1780980979
Name:HARTWIG, DAVID JOHN (DPT, PT)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:JOHN
Last Name:HARTWIG
Suffix:
Gender:M
Credentials:DPT, PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2975 SE CLAYTON ST
Mailing Address - Street 2:
Mailing Address - City:STUART
Mailing Address - State:FL
Mailing Address - Zip Code:34997-5109
Mailing Address - Country:US
Mailing Address - Phone:443-783-8570
Mailing Address - Fax:
Practice Address - Street 1:3216 SE FEDERAL HWY
Practice Address - Street 2:
Practice Address - City:STUART
Practice Address - State:FL
Practice Address - Zip Code:34997-4912
Practice Address - Country:US
Practice Address - Phone:954-932-8527
Practice Address - Fax:561-468-7120
Is Sole Proprietor?:No
Enumeration Date:2011-02-04
Last Update Date:2024-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL070024277225100000X
MD23529225100000X
FL364522251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist