Active NPI
Lauren Harris, PT
- Physical Therapist
- Fairfield, CT
National Provider Identifier
1215356019
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 010055
- Practice address
- 1931 Black Rock Tpke
Attn: Credentialing
Fairfield, CT 06825-3506 - Phone
- (203) 384-8681
- Fax
- (203) 384-0722
- NPI assigned
- Apr 9, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 010055 | CT | Primary |
Addresses
Primary practice location
1931 Black Rock Tpke
Attn: Credentialing
Fairfield, CT 06825-3506
Mailing address
1931 Black Rock Tpke
Attn: Credentialing
Fairfield, CT 06825-3506
Phone (203) 332-4363
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010055 | Other | CT | CONNECTICUT LICENSE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 010055 | CT | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1397001600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1513728000000",
"number": "1215356019",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1931 BLACK ROCK TPKE",
"address_2": "ATTN: CREDENTIALING",
"city": "FAIRFIELD",
"state": "CT",
"postal_code": "068253506",
"telephone_number": "203-332-4363",
"fax_number": "203-330-6761"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1931 BLACK ROCK TPKE",
"address_2": "ATTN: CREDENTIALING",
"city": "FAIRFIELD",
"state": "CT",
"postal_code": "068253506",
"telephone_number": "203-384-8681",
"fax_number": "203-384-0722"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "LAUREN",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-04-09",
"last_updated": "2017-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CT",
"license": "010055",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CONNECTICUT LICENSE",
"identifier": "010055",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fairfield, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 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.