Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Koby Keith Hartis

Individual provider Athletic Trainer · NPI 1386278836

Koby Keith Hartis is a Physical Therapist in Private Practice in Searcy, Arkansas. Qualified in 2023, 3 years ago. Practices with Andrew Paul Abraham PT PA, a 15-clinician group and accepts Medicare assignment. Licensed in Arkansas.

Years since qualifying
3
Licensed in
AR
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

801 W Beebe Capps Expy
Searcy, AR 72143-6353
Phone: (501) 268-2513
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT5322 (AR)
Athletic Trainer Taxonomy 2255A2300X

Record details

NPI number1386278836
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 24, 2020
Last updated in NPPESAugust 25, 2023
Certification dateAugust 25, 2023
Mailing address1505 Rehoboth Dr, Searcy, AR 72143-8069

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Andrew Paul Abraham Pt Pa — 15 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Searcy