Active NPI
Christa Joan Harrison, PT
- Physical Therapist
- Stoughton, MA
National Provider Identifier
1093040602
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 16165
- Practice address
- 909 Sumner Street
Goddard Rehab and Nursing
Stoughton, MA 02072 - Phone
- (781) 297-8200
- NPI assigned
- Oct 15, 2009
- Sex
- Female
- Sole proprietor
- No
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 | 16165 | MA | Primary |
Addresses
Primary practice location
909 Sumner Street
Goddard Rehab and Nursing
Stoughton, MA 02072
Mailing address
165 Hamilton Ave
Quincy, MA 02171-2718
Phone (617) 921-7935
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16165 | MA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1255564800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1255564800000",
"number": "1093040602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "165 HAMILTON AVE",
"city": "QUINCY",
"state": "MA",
"postal_code": "021712718",
"telephone_number": "617-921-7935"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "909 SUMNER STREET",
"address_2": "GODDARD REHAB AND NURSING",
"city": "STOUGHTON",
"state": "MA",
"postal_code": "02072",
"telephone_number": "781-297-8200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRISON",
"first_name": "CHRISTA",
"middle_name": "JOAN",
"name_prefix": "Ms.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-10-15",
"last_updated": "2009-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "16165",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stoughton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.