Provider Demographics
NPI:1487893186
Name:HARDIN, JAMES CHADWICK (PT)
Entity type:Individual
Prefix:MR
First Name:JAMES
Middle Name:CHADWICK
Last Name:HARDIN
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 1:1185 VANCE HILL RD
Mailing Address - Street 2:
Mailing Address - City:NEWPORT CENTER
Mailing Address - State:VT
Mailing Address - Zip Code:05857-9401
Mailing Address - Country:US
Mailing Address - Phone:802-334-5150
Mailing Address - Fax:
Practice Address - Street 1:155 DUCHESS AVE
Practice Address - Street 2:
Practice Address - City:NEWPORT
Practice Address - State:VT
Practice Address - Zip Code:05855-5515
Practice Address - Country:US
Practice Address - Phone:802-487-9668
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-02-19
Last Update Date:2020-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT040-0003472225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist