Active NPI
Donald Terrance Harris, PT
- Physical Therapist
- Helena, MT
National Provider Identifier
1124182951
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 562
- Practice address
- 2525 Colonial Dr
Suite B
Helena, MT 59601-4902 - Phone
- (406) 449-4279
- Fax
- (406) 449-8043
- NPI assigned
- Dec 19, 2006
- Sex
- Male
- 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 | 562 | MT | Primary |
Addresses
Primary practice location
2525 Colonial Dr
Suite B
Helena, MT 59601-4902
Mailing address
2525 Colonial Dr
Suite B
Helena, MT 59601-4902
Phone (406) 449-4279
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0341615 | Medicaid | MT | |
| 0168676 | Other | MT | WAWC |
| MSF0522979 | Other | MT | MT STATE FUND |
| 841391220009 | Other | MT | EBMS |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1198800000000",
"number": "1124182951",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2525 COLONIAL DR",
"address_2": "SUITE B",
"city": "HELENA",
"state": "MT",
"postal_code": "596014902",
"telephone_number": "406-449-4279",
"fax_number": "406-449-8043"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2525 COLONIAL DR",
"address_2": "SUITE B",
"city": "HELENA",
"state": "MT",
"postal_code": "596014902",
"telephone_number": "406-449-4279",
"fax_number": "406-449-8043"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "DONALD",
"middle_name": "TERRANCE",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-19",
"last_updated": "2007-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MT",
"license": "562",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0341615",
"state": "MT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WAWC",
"identifier": "0168676",
"state": "MT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MT STATE FUND",
"identifier": "MSF0522979",
"state": "MT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EBMS",
"identifier": "841391220009",
"state": "MT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Helena, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.