Stanley Jenkins Harris, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

775 Issued in AR

Practice address

4801 Fairway Ave
N Little Rock, AR 72116-8009

Phone

(501) 758-1300

Fax

(501) 758-1316

NPI assigned

Apr 28, 2006

Last updated

Aug 22, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Harris and Renshaw Rehab Center IncGroup PAC ID 1557496205, 19 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Harris & Renshaw Rehab Center, Inc.

  • Physical Therapy Clinic/Center
  • North Little Rock, AR
  • NPI 1336478031

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Arkansas Pain Centers, LTD

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • N Little Rock, AR
  • NPI 1811984099
  Medicare reassignment NPD
• Northside Therapy Center Inc

  • Physical Therapy Clinic/Center
  • North Little Rock, AR
  • NPI 1023054145
  NPD (past) Authorized official
• Arkansas Pain Centers LTD

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Little Rock, AR
  • NPI 1548896798
  NPD

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

{
    "created_epoch": "1146182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313971200000",
    "number": "1194782458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4801 FAIRWAY AVE",
            "city": "N LITTLE ROCK",
            "state": "AR",
            "postal_code": "721168009",
            "telephone_number": "501-758-1300",
            "fax_number": "501-758-1316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 FAIRWAY AVE",
            "city": "N LITTLE ROCK",
            "state": "AR",
            "postal_code": "721168009",
            "telephone_number": "501-758-1300",
            "fax_number": "501-758-1316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "STANLEY",
        "middle_name": "JENKINS",
        "name_prefix": "Mr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-28",
        "last_updated": "2011-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AR",
            "license": "775",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "5G468",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "5S488",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "129283721",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in N Little Rock, AR
• Providers in N Little Rock, AR by specialty
• Physical Therapist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2011; 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.