Individual provider Active NPI

James Harris

  • Physical Therapist
  • Farmington, NM
National Provider Identifier
1124894258
Registry record updated May 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT22014 Issued in NM
Practice address
2904 Hutton Ave
Farmington, NM 87402-4564
Phone
(505) 327-4845
NPI assigned
Nov 29, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2024

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 PT22014 NM Primary

Addresses

Primary practice location

2904 Hutton Ave
Farmington, NM 87402-4564

Mailing address

2904 Hutton Ave
Farmington, NM 87402-4564
Phone (505) 327-4845

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240422003036 NM Practitioner - Physical Therapist in Private Practice 2264884725 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
May accept Medicare assignment
Group practices
La Mesa Chiropractic and Rehabilitation Center Inc.Group PAC ID 8426145327, 3 clinicians

Practice addresses (Care Compare)

2904 Hutton Ave
Farmington, NM 87402-4564

2904 N Hutton Ave
Farmington, NM 87402-4564
Phone (505) 327-4845

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT22014NMMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
The Fort Defiance Indian Hospital Board, Incorporation CurrentSince Jan 2, 2024 Accepting new patients
Ideal Physical Therapy LLC CurrentSince Jun 23, 2025 Accepting new patients
La Mesa Chiropractic and Rehabilitation Center Inc. Physical Therapist CurrentSince Apr 1, 2024 Accepting new patients

Locations

2904 Hutton Ave
Farmington, NM 87402
Phone (505) 327-4845

Organizations & group practices 3

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": "1701216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714953600000",
    "number": "1124894258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2904 HUTTON AVE",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874024564",
            "telephone_number": "505-327-4845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2904 HUTTON AVE",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874024564",
            "telephone_number": "505-327-4845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "JAMES",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-11-29",
        "last_updated": "2024-05-06",
        "certification_date": "2024-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NM",
            "license": "PT22014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.