Individual provider Active NPI

Jon Allen Harris, DPT

  • Physical Therapist
  • Scottsdale, AZ
National Provider Identifier
1114520012
Registry record updated Nov 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
6480 Issued in AZ
Practice address
8679 E San Alberto
Scottsdale, AZ 85258-4368
Phone
(480) 447-3262
Fax
(480) 546-4121
NPI assigned
Nov 21, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 21, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 6480 AZ Primary

Addresses

Primary practice location

8679 E San Alberto
Scottsdale, AZ 85258-4368

Mailing address

442 S Miller St
Mesa, AZ 85204-2625
Phone (480) 406-1947

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

LicenseStateTypeSpecialty
6480AZMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
CJPS Home Care, LLC CurrentSince Mar 21, 2021 Accepting new patients

Locations

8679 E San Alberto
Scottsdale, AZ 85258
Phone (480) 447-3262

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": "1605916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605916800000",
    "number": "1114520012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "442 S MILLER ST",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852042625",
            "telephone_number": "480-406-1947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8679 E SAN ALBERTO",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852584368",
            "telephone_number": "480-447-3262",
            "fax_number": "480-546-4121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "JON",
        "middle_name": "ALLEN",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-11-21",
        "last_updated": "2020-11-21",
        "certification_date": "2020-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "6480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2020; 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.