Individual provider Active NPI

Dawnella Grace Harrison, PHYSICAL THERAPIST

  • Physical Therapist
  • Roswell, GA
National Provider Identifier
1003095928
Registry record updated Oct 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT008700 Issued in GA
Practice address
3455 Johnson Ferry Rd NE
Roswell, GA 30075-5206
Phone
(770) 998-6636
NPI assigned
Oct 27, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT008700 GA Primary

Addresses

Primary practice location

3455 Johnson Ferry Rd NE
Roswell, GA 30075-5206

Mailing address

3455 Johnson Ferry Rd NE
Roswell, GA 30075-5206
Phone (770) 998-6636

Other names 1

  • Mr. Dawnella Grace McLaren-Harrison Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT008700GAMDPhysical Therapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1193443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665705600000",
    "number": "1003095928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3455 JOHNSON FERRY RD NE",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300755206",
            "telephone_number": "770-998-6636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3455 JOHNSON FERRY RD NE",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300755206",
            "telephone_number": "770-998-6636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRISON",
        "first_name": "DAWNELLA",
        "middle_name": "GRACE",
        "name_prefix": "Mrs.",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-27",
        "last_updated": "2022-10-14",
        "certification_date": "2022-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT008700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DAWNELLA",
            "last_name": "MCLAREN-HARRISON",
            "middle_name": "GRACE",
            "prefix": "MR.",
            "credential": "PHYSICAL THERAPIST",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Roswell, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.