Active NPI
Avery Harps, DPT
- Physical Therapist
- Brandon, MS
National Provider Identifier
1083013932
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 4757
- Practice address
- 289 Cornerstone Dr
Brandon, MS 39042-2748 - Phone
- (601) 706-4051
- Fax
- (601) 706-4051
- NPI assigned
- Aug 16, 2014
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 4757 | MS | Primary |
Addresses
Primary practice location
289 Cornerstone Dr
Brandon, MS 39042-2748
Mailing address
289 Cornerstone Dr
Brandon, MS 39042-2748
Phone (601) 706-4051
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4757 | MS | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fitness Clinic | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Jackson, MS
- NPI 1497027775
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1408147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1452297600000",
"number": "1083013932",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "289 CORNERSTONE DR",
"city": "BRANDON",
"state": "MS",
"postal_code": "390422748",
"telephone_number": "601-706-4051",
"fax_number": "601-706-4051"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "289 CORNERSTONE DR",
"city": "BRANDON",
"state": "MS",
"postal_code": "390422748",
"telephone_number": "601-706-4051",
"fax_number": "601-706-4051"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARPS",
"first_name": "AVERY",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-08-16",
"last_updated": "2016-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MS",
"license": "4757",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brandon, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.