Stacey Harris

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

6910 Richmond Hwy Ste 100
Alexandria, VA 22306-1850

Phone

(703) 765-7700

NPI assigned

Aug 23, 2006

Last updated

Aug 9, 2017By the provider in NPPES

Sex

Female

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Concierge Physical Therapy and Wellness, LLC

  dba More Than PT

  • Physical Therapy Clinic/Center
  • West Chester, OH
  • NPI 1487170239
  NPD Authorized official
• Select Physical Therapy Holdings Inc

  dba Select Physical Therapy

  • Physical Therapy Clinic/Center
  • Ashland, VA
  • NPI 1174591218
  NPD (past)

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1502236800000",
    "number": "1194831792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5475 SURREY CT",
            "city": "WEST CHESTER",
            "state": "OH",
            "postal_code": "45069",
            "telephone_number": "276-870-2221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6910 RICHMOND HWY STE 100",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223061850",
            "telephone_number": "703-765-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "STACEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-23",
        "last_updated": "2017-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE #",
            "identifier": "2305203610",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Jane Harris, PT
• Megan Harris, CCC-SLP
• Robert Harris, PT, DPT
• Shannon Loren Harris, PTA
• Sofia Harris
• Tamika Harris, IBCLC, RLC
• Harrison Horne Renauld Harrison Horne III
• Beth Blake Harrison, M.S., CCC-SLP
• Gillian Harrison, MD
• Jasmin Hope Harrison, RN

• Physical Therapist in Alexandria, VA
• Providers in Alexandria, VA by specialty
• Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2017; 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.