Shirley Harris, LPTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

760 Issued in AK

Practice address

324 Skyridge Dr
Fairbanks, AK 99712-1205

Phone

(907) 479-4911

Fax

(907) 374-4934

NPI assigned

Oct 22, 2008

Last updated

Jun 4, 2009By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1224633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244073600000",
    "number": "1043462062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3550 AIRPORT WAY",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997094760",
            "telephone_number": "907-374-0884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 SKYRIDGE DR",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997121205",
            "telephone_number": "907-479-4911",
            "fax_number": "907-374-4934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "SHIRLEY",
        "credential": "LPTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-22",
        "last_updated": "2009-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "AK",
            "license": "760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Krista K. Harris, RPH
• Macey Harris
• Mark Harris
• Noah Harris
• Patricia Ann Harris
• Sirrah Jade Harris, RBT
• Tiffany Harris
• Yvette Monique Harris, ED. D
• Lynn Roberta Harrison, M.ED
• Kathryn Harrod, LMT

• Physical Therapy Assistant in Fairbanks, AK
• Providers in Fairbanks, AK by specialty
• Physical Therapy Assistant in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2009; 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.