Individual provider Active NPI

Valerie Beth Harris, DT, DPT, OCS

  • Orthopedic Physical Therapist
  • Staten Island, NY
National Provider Identifier
1083717987
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
8399 Issued in NY
Practice address
274 Kell Ave
Staten Island, NY 10314-4114
Phone
(718) 983-8787
NPI assigned
Sep 6, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 8399 NY Primary

Addresses

Primary practice location

274 Kell Ave
Staten Island, NY 10314-4114

Mailing address

274 Kell Avenue
Staten Island, NY 10314
Phone (718) 983-8787

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240729000542 NY Practitioner - Physical Therapist in Private Practice 1254877061 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1984
Medicare assignment
May accept Medicare assignment
Group practices
Thrive Integrated Physical Therapy PCGroup PAC ID 9739152935, 10 clinicians

Practice addresses (Care Compare)

594 Broadway
New York, NY 10012-3257
Phone (212) 254-7750

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8399NYMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Integrated Physical Therapy, PC CurrentSince Jul 1, 2024 Accepting new patients

Locations

594 Broadway
Ste 702
New York, NY 10012
Phone (212) 254-7750

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.

NPI Registry JSON

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083717987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "274 KELL AVENUE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "10314",
            "telephone_number": "718-983-8787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "274 KELL AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103144114",
            "telephone_number": "718-983-8787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "VALERIE",
        "middle_name": "BETH",
        "name_prefix": "Mrs.",
        "credential": "DT, DPT, OCS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NY",
            "license": "8399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.