Active NPI
Mark Garry Harris, PT
- Cardiopulmonary Physical Therapist
- Olean, NY
National Provider Identifier
1154531036
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiopulmonary Physical Therapist
- License
- 012876
- Practice address
- 515 Main St
Olean General Hospital
Olean, NY 14760-1513 - Phone
- (716) 375-6256
- Fax
- (716) 375-6410
- NPI assigned
- May 22, 2007
- 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 |
|---|---|---|---|---|
| Cardiopulmonary Physical Therapist | 2251C2600X | 012876 | NY | Primary |
Addresses
Primary practice location
515 Main St
Olean General Hospital
Olean, NY 14760-1513
Mailing address
543 Fountain St
Olean, NY 14760-1115
Phone (716) 372-7703
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
| License | State | Type | Specialty |
|---|---|---|---|
| 012876 | NY | MD | Cardiopulmonary Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1154531036",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "543 FOUNTAIN ST",
"city": "OLEAN",
"state": "NY",
"postal_code": "147601115",
"telephone_number": "716-372-7703"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "515 MAIN ST",
"address_2": "OLEAN GENERAL HOSPITAL",
"city": "OLEAN",
"state": "NY",
"postal_code": "147601513",
"telephone_number": "716-375-6256",
"fax_number": "716-375-6410"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "MARK",
"middle_name": "GARRY",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2251C2600X",
"taxonomy_group": "",
"desc": "Physical Therapist, Cardiopulmonary",
"state": "NY",
"license": "012876",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Olean, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.