Amanda G. Harris, M.P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT3651 Issued in MS

Practice address

702 Highway 82 W
B
Greenwood, MS 38930-5069

Phone

(662) 455-5010

Fax

(662) 455-5468

NPI assigned

Oct 4, 2005

Last updated

Aug 10, 2007By 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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Elevate Physical Therapy and Wellness, LLCGroup PAC ID 6507242690, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Elevate Physical Therapy and Wellness, LLC

  • Physical Therapist
  • Greenwood, MS
  • NPI 1043945215
  Medicare reassignment Care Compare group NPD
• Advanced Rehabilitation, LLC

  • Physical Therapist
  • Greenwood, MS
  • NPI 1164419222
  Medicare reassignment NPD

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

{
    "created_epoch": "1128384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186704000000",
    "number": "1073500054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 HIGHWAY 82 W",
            "address_2": "B",
            "city": "GREENWOOD",
            "state": "MS",
            "postal_code": "389305069",
            "telephone_number": "662-455-5010",
            "fax_number": "662-455-5468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 HIGHWAY 82 W",
            "address_2": "B",
            "city": "GREENWOOD",
            "state": "MS",
            "postal_code": "389305069",
            "telephone_number": "662-455-5010",
            "fax_number": "662-455-5468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "AMANDA",
        "middle_name": "G.",
        "name_prefix": "Mrs.",
        "credential": "M.P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-04",
        "last_updated": "2007-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MS",
            "license": "PT3651",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01924202",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thomas Hargrove
• Brenda Tribble Harlow, RPH
• Earline Harmon
• Cynthia Blair Harper, OTR/L
• William B Harper, D. O.
• Constance Harrison
• Melinda Harvey
• Victoria Manning Hawkins, PCMHT
• Henry Flautt Jr MD PA (Henry Flautt Jr MD)
• Timesha Dianadria Henson

• Physical Therapist in Greenwood, MS
• Providers in Greenwood, MS by specialty
• Physical Therapist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.