Carlyn N Harris, PT DPT

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

PT011317 Issued in GA

Practice address

11660 Alpharetta Hwy
Suite 320
Roswell, GA 30076-4943

Phone

(770) 754-0085

Fax

(770) 754-9288

NPI assigned

Nov 26, 2013

Last updated

Nov 26, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Georgia Developmental Services

  dba Children's Therapy Works

  • Pediatric Occupational Therapist
  • Roswell, GA
  • NPI 1316223142
  NPD (past)
• Let's Learn Inc

  • Behavior Analyst
  • Roswell, GA
  • NPI 1124569140
  NPD (past)

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

{
    "created_epoch": "1385424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1385424000000",
    "number": "1043640287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11660 ALPHARETTA HWY",
            "address_2": "SUITE 320",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300764943",
            "telephone_number": "770-754-0085",
            "fax_number": "770-754-9288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11660 ALPHARETTA HWY",
            "address_2": "SUITE 320",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300764943",
            "telephone_number": "770-754-0085",
            "fax_number": "770-754-9288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "CARLYN",
        "middle_name": "N",
        "credential": "PT DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-26",
        "last_updated": "2013-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "GA",
            "license": "PT011317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Corshonta Harper, FNP-C
• Jennifer Madge Harper, MD
• Jennifer Hoke Harrell, PT
• Affiniti Harris-Mordecai
• Audrey Harris
• Ian Harris, PA
• Julia Harris, M.S., LAPC
• Leonie V Harris, PHD, NMD, ND
• Patricia Harris, B.S.,MBA, CACII
• Harrison Physical Therapy

• Pediatric Physical Therapist in Roswell, GA
• Providers in Roswell, GA by specialty
• Pediatric Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2013; 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.