Individual provider Active NPI

Andrea Margaret Harris, DPT

  • Physical Therapist
  • Louisville, OH
National Provider Identifier
1154763803
Registry record updated Jul 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT.014266 Issued in OH
Practice address
513 E Main St
Louisville, OH 44641-1421
Phone
(330) 875-0888
NPI assigned
Jul 23, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2019

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 PT.014266 OH Primary

Addresses

Primary practice location

513 E Main St
Louisville, OH 44641-1421

Mailing address

4645 Belpar St NW
Canton, OH 44718-3602
Phone (330) 493-4210

Other practice location 1

2660 W Market St
Suite 300
Fairlawn, OH 44333-4208
Phone (330) 869-2535

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131017001023 OH Practitioner - Physical Therapist in Private Practice 3678707080 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Novacare Rehabilitation of Ohio IncGroup PAC ID 0345159315, 76 clinicians

Practice addresses (Care Compare)

1611 N Main St
Suite B
North Canton, OH 44720-8605
Phone (330) 494-1912

702 W Main St
Louisville, OH 44641-1338
Phone (330) 875-0888

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Harrisdpt Current Accepting new patients
Novacare Rehabilitation of Ohio, Inc. Physical Therapist CurrentSince Oct 18, 2021 Accepting new patients
Louisville Physical Therapy, LLC Physical Therapist CurrentSince Feb 14, 2021 Accepting new patients
Novacare Rehabilitation of Ohio, Inc. CurrentSince Oct 18, 2021 Accepting new patients
Novacare Rehabilitation of Ohio Inc Past Accepting new patients
Concorde Therapy Group, Inc. PastSince Jul 25, 2019 Accepting new patients

Locations

4645 Belpar St NW
Canton, OH 44718
Phone (330) 493-4210

513 E Main St
Louisville, OH 44641
Phone (330) 875-0888

803 E Washington St
Ste 130
Medina, OH 44256
Phone (330) 725-4200

4714 Gettysburg Rd
Mechanicsburg, PA 17055
Phone (888) 735-6332

Organizations & group practices 10

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": "1374537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563148800000",
    "number": "1154763803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4645 BELPAR ST NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447183602",
            "telephone_number": "330-493-4210",
            "fax_number": "330-493-4744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "513 E MAIN ST",
            "city": "LOUISVILLE",
            "state": "OH",
            "postal_code": "446411421",
            "telephone_number": "330-875-0888"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2660 W Market St",
            "address_2": "Suite 300",
            "address_purpose": "LOCATION",
            "city": "Fairlawn",
            "state": "OH",
            "postal_code": "443334208",
            "country_code": "US",
            "telephone_number": "330-869-2535",
            "fax_number": "330-869-8315",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "ANDREA",
        "middle_name": "MARGARET",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-23",
        "last_updated": "2019-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT.014266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2019; 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.