MEDICARE: PATRICK SEAN HART PTA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225200000X	Physical Therapy Assistant	2151494	TX

General Provider Information

NPI Number	:	1649069998
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PATRICK SEAN HART PTA

Provider Business Mailing Address
First Line	:	123 HEIEN CT
Second Line	:
City	:	BOYD
State	:	TX
Zip	:	76023-7211
Country	:	US
Telephone Number	:	817-680-6415
Fax Number	:

Provider Business Practice Location Address
First Line	:	901 MEDICAL CENTER DR
Second Line	:
City	:	DECATUR
State	:	TX
Zip	:	76234-3874
Country	:	US
Telephone Number	:	940-290-0273
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/03/2025
Last Update Date	:	05/03/2025

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Directions to “ PATRICK SEAN HART PTA” Practice Location

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