Alexandra Ely Harris, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

11400 Issued in TN

Practice address

100 River Rd
Loudon, TN 37774-1042

Phone

(865) 458-5411

NPI assigned

Aug 25, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Feltz Therapy Services, LLC

  • Rehabilitation Clinic/Center
  • Smyrna, TN
  • NPI 1730165184

  Physical Therapist

  NPD (past)
• Little Tennessee Valley Educational Cooperative

  • Local Education Agency (LEA)
  • Loudon, TN
  • NPI 1114256039
  NPD (past)
• Speech Pathology Services of East Tennessee LLC

  • Rehabilitation Clinic/Center
  • Maryville, TN
  • NPI 1659466712

  Physical Therapist

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1503619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659398400000",
    "number": "1124545686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 HOWARD DR",
            "city": "SHELBYVILLE",
            "state": "KY",
            "postal_code": "400658138",
            "telephone_number": "502-633-1007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 RIVER RD",
            "city": "LOUDON",
            "state": "TN",
            "postal_code": "377741042",
            "telephone_number": "865-458-5411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "ALEXANDRA",
        "middle_name": "ELY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-25",
        "last_updated": "2022-08-02",
        "certification_date": "2022-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "11400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q044006",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sherri Gray, FNP-C
• Jessica Greene, HIS
• James Perry Guider, M.D.
• Lauren Marie Hamilton Reep, COTA/L
• Diana Michelle 'Mickey' Harchis, R.N.
• Tiffany Allison Harris, MS MPH
• John Harrison, DDS
• Stephanie Hatcher, PTA
• Ryan Hau, PHARMD
• Lydia C Henry, OTR/L

• All providers in Loudon, TN
• Physical Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2022; 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.