Healthcare Provider Details

I. General information

NPI: 1972449049
Provider Name (Legal Business Name): KATHERINE L HART
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/28/2026
Last Update Date: 04/28/2026
Certification Date: 04/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

216 AMELON SQ
MADISON HEIGHTS VA
24572-5981
US

IV. Provider business mailing address

308 QUAIL MEADOWS DR
FOREST VA
24551-1028
US

V. Phone/Fax

Practice location:
  • Phone: 434-225-4210
  • Fax:
Mailing address:
  • Phone: 434-333-5142
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: