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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JACK HARTWELL, DPT

Active

JACK HARTWELL, DPT is a Physical Therapy Assistant healthcare provider located in LAKE ELSINORE, California. NPI 1154121457 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · LAKE ELSINORE, CA

Registration Details

NPI Number
1154121457
Provider Type
Individual
Gender
Male
NPI Issued
Mar 17, 2025 (1.2296562181233 yrs)
Last Updated
May 28, 2025
Licenses
307740 (CA)
307740 (CA)

Practice Information

Address
25381 RAILROAD CANYON RD STE 1101
LAKE ELSINORE, CA, 925322705
Browse CA providers · Browse ZIP 92532
Phone
9512448404
Primary Specialty
Physical Therapy Assistant
225100000X
Additional Specialty
Physical Therapy Assistant

Other Physical Therapy Assistant Providers in LAKE ELSINORE, CA

Name Credential NPI
SARAH MICHELLE PURDY MPT 1568559847
AMY A ROBINSON PT, MPT 1760544258
NANCY NOELLE GRIEGER P.T. 1003956798
JENNIFER THERESE LAWRENCE DPT 1497870968
MR. DAVID SEI NAKAI R.P.T. 1235304239
MRS. SHAWN REY CASTELLON P.T. 1659511368
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.