Active NPI
Matthew Harrison, LAT, ATC
- Contractor
- Carmel, IN
National Provider Identifier
1033582903
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- License
- 2000018286
- Practice address
- 11595 N Meridian St Ste 140
Carmel, IN 46032-4544 - Phone
- (317) 708-4832
- NPI assigned
- Nov 2, 2015
- Last updated
- Nov 2, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | 2000018286 | IN | Primary |
Addresses
Primary practice location
11595 N Meridian St Ste 140
Carmel, IN 46032-4544
Mailing address
144 Diplomat CT Apt 9
Beech Grove, IN 46107-2343
Phone (812) 343-5128
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2000018286 | IN | MD | Contractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1446422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1446422400000",
"number": "1033582903",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "144 DIPLOMAT CT APT 9",
"city": "BEECH GROVE",
"state": "IN",
"postal_code": "461072343",
"telephone_number": "812-343-5128"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11595 N MERIDIAN ST STE 140",
"city": "CARMEL",
"state": "IN",
"postal_code": "460324544",
"telephone_number": "317-708-4832"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRISON",
"first_name": "MATTHEW",
"credential": "LAT, ATC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-11-02",
"last_updated": "2015-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "IN",
"license": "2000018286",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Carmel, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.