Organization Active NPI

Harmon Physical Therapy, Inc.

  • Physical Therapy Clinic/Center
  • West Covina, CA
National Provider Identifier
1194759159
Registry record updated May 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
PT5299 Issued in CA
Legal business name
HARMON PHYSICAL THERAPY, INC.
Practice address
1250 S Sunset Ave
#204
West Covina, CA 91790-3961
Phone
(626) 960-2853
Fax
(626) 856-5512
NPI assigned
Jul 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2009

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

Authorized official

Name
Mr. Buford Kershaw Harmon III, R.P.T.
Title
Owner
Phone
(626) 960-2853

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X PT5299 CA Primary

Addresses

Primary practice location

1250 S Sunset Ave
#204
West Covina, CA 91790-3961

Mailing address

1250 S Sunset Ave
#204
West Covina, CA 91790-3961
Phone (626) 960-2853

Other identifiers 1

IdentifierTypeStateIssuer
PT0052990MedicaidCA

National Provider Directory

National Provider Directory

Locations

364 E Rowland St
Covina, CA 91723
Phone (626) 331-6448

1250 S Sunset Ave
Ste 204
West Covina, CA 91790
Phone (626) 960-2853

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242086400000",
    "number": "1194759159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 S SUNSET AVE",
            "address_2": "#204",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917903961",
            "telephone_number": "626-960-2853",
            "fax_number": "626-856-5512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 S SUNSET AVE",
            "address_2": "#204",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917903961",
            "telephone_number": "626-960-2853",
            "fax_number": "626-856-5512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARMON PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2009-05-12",
        "status": "A",
        "authorized_official_last_name": "HARMON",
        "authorized_official_first_name": "BUFORD",
        "authorized_official_middle_name": "KERSHAW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "626-960-2853",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "R.P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CA",
            "license": "PT5299",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PT0052990",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Covina, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2009; 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.