Individual provider Active NPI

Jamie Marie Harms, PT

  • Physical Therapist
  • Chicago, IL
National Provider Identifier
1093766909
Registry record updated Jan 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070014443 Issued in IL
Practice address
1915 S Archer Ave
Chicago, IL 60616-1618
Phone
(312) 674-9132
Fax
(312) 674-9392
NPI assigned
May 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 070014443 IL Primary

Addresses

Primary practice location

1915 S Archer Ave
Chicago, IL 60616-1618

Mailing address

500 N Kingsbury St
Chicago, IL 60654-5721
Phone (312) 527-5801

Other identifiers 2

IdentifierTypeStateIssuer
200765OtherILGROUP MEDICARE PIN
070014443OtherILSTATE LICENSE

Other names 1

  • Ms. Jamie Marie Melgarejo Former name

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

LicenseStateTypeSpecialty
070014443ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rosenthal Clinic SC Past Accepting new patients
Millenium Park Medical Center, SC Physical Therapist Past Accepting new patients
Physical Therapy & Spine Institute Limited Partnership Physical Therapist PastSince Jul 1, 2005 Accepting new patients
Physical Therapy & Spine Institute LP Physical Therapist Past Accepting new patients

Organizations & group practices 4

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": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359417600000",
    "number": "1093766909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 N KINGSBURY ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606545721",
            "telephone_number": "312-527-5801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1915 S ARCHER AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606161618",
            "telephone_number": "312-674-9132",
            "fax_number": "312-674-9392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARMS",
        "first_name": "JAMIE",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-15",
        "last_updated": "2013-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070014443",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICARE PIN",
            "identifier": "200765",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "070014443",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAMIE",
            "last_name": "MELGAREJO",
            "middle_name": "MARIE",
            "prefix": "MS.",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2013; 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.