Active NPI
Douglas Andrew Harvey, PT, CSCS
- Physical Therapist
- Coppell, TX
National Provider Identifier
1124198627
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1161126
- Practice address
- 1199 S Belt Line Rd
#140
Coppell, TX 75019-4666 - Phone
- (972) 745-9060
- Fax
- (972) 745-9069
- NPI assigned
- Nov 9, 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 | 1161126 | TX | Primary |
Addresses
Primary practice location
1199 S Belt Line Rd
#140
Coppell, TX 75019-4666
Mailing address
1199 S Belt Line Rd
# 140
Coppell, TX 75019-4666
Phone (972) 745-9060
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8J5800 | Other | TX | INDIVIDUAL MEDICARE ID |
| 8T6273 | Other | TX | BCBS ID |
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": "1163030400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1202947200000",
"number": "1124198627",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1199 S BELT LINE RD",
"address_2": "# 140",
"city": "COPPELL",
"state": "TX",
"postal_code": "750194666",
"telephone_number": "972-745-9060",
"fax_number": "972-745-9069"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1199 S BELT LINE RD",
"address_2": "#140",
"city": "COPPELL",
"state": "TX",
"postal_code": "750194666",
"telephone_number": "972-745-9060",
"fax_number": "972-745-9069"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARVEY",
"first_name": "DOUGLAS",
"middle_name": "ANDREW",
"name_prefix": "Mr.",
"credential": "PT, CSCS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-09",
"last_updated": "2008-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1161126",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIVIDUAL MEDICARE ID",
"identifier": "8J5800",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS ID",
"identifier": "8T6273",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Coppell, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.