Individual provider Active NPI

Paige Harris, DPT

  • Physical Therapist
  • Austin, TX
National Provider Identifier
1154945764
Registry record updated May 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
3125349 Issued in TX
Practice address
9001 Brodie LN Ste C8
Austin, TX 78748-5005
Phone
(512) 712-4192
NPI assigned
May 31, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 31, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 3125349 TX Primary

Addresses

Primary practice location

9001 Brodie LN Ste C8
Austin, TX 78748-5005

Mailing address

107 Canyon Lookout LN
Georgetown, TX 78633-2063
Phone (512) 818-9274

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

State licenses

LicenseStateTypeSpecialty
3125349TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Resolution Manual Therapy, PLLC Physical Therapist CurrentSince Feb 18, 2022 Accepting new patients

Locations

9001 Brodie Ln
Ste C8
Austin, TX 78748
Phone (512) 712-4192

Organizations & group practices 1

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": "1590883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590883200000",
    "number": "1154945764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 CANYON LOOKOUT LN",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786332063",
            "telephone_number": "512-818-9274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9001 BRODIE LN STE C8",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787485005",
            "telephone_number": "512-712-4192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "PAIGE",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-31",
        "last_updated": "2020-05-31",
        "certification_date": "2020-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "3125349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2020; 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.