Mark Orson Harris, PT

Primary specialty

Geriatric Physical TherapistTaxonomy code 2251G0304X

License

PT3297 Issued in MS

Practice address

15476A Dedeaux Rd
Gulfport, MS 39503-2637

Phone

(228) 539-3232

NPI assigned

Mar 11, 2015

Sex

Male

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

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

{
    "created_epoch": "1426032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426032000000",
    "number": "1063805240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 OAKS BLVD",
            "city": "BAY ST LOUIS",
            "state": "MS",
            "postal_code": "395203016",
            "telephone_number": "228-216-2408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15476A DEDEAUX RD",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395032637",
            "telephone_number": "228-539-3232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "MARK",
        "middle_name": "ORSON",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-03-11",
        "last_updated": "2015-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "MS",
            "license": "PT3297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sean Timothy Harper, PT
• Tamara W. Harper, MD
• Amanda Leblanc Harris, PA-C
• Bridgette Denise Harris
• Darrin Harris
• Mya Harris, RBT
• William Harris, CCC-SLP
• Harrison County School District
• Savannah Scafide Harrison, MS, LPC
• Teresa L Harrison, R. PH

• Geriatric Physical Therapist in Gulfport, MS
• Providers in Gulfport, MS by specialty
• Geriatric Physical Therapist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.

Verify at the official NPI Registry.