Active NPI
Audra Lisa Harris, MOT, OTR/L
- Occupational Therapist
- Haverhill, MA
National Provider Identifier
1235713579
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 13275
- Practice address
- 931 Boston Rd
Haverhill, MA 01835-6927 - Phone
- (978) 241-9177
- NPI assigned
- May 12, 2021
- Last updated
- May 12, 2021
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 13275 | MA | Primary |
Addresses
Primary practice location
931 Boston Rd
Haverhill, MA 01835-6927
Mailing address
221 West St Apt 12
Leominster, MA 01453-6336
Phone (978) 855-9636
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Autonomy Pelvic Health | Current | Accepting new patients | |
| Neuro Rehab Associates, Inc | Past | Accepting new patients | |
| Achieve Physical Therapy, PC | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Clinic/Center
- Leominster, MA
- NPI 1073208559
-
- Physical Therapist
- Syracuse, NY
- NPI 1790778983
-
dba Northeast Rehabilitation Health Network
- Rehabilitation Hospital
- Salem, NH
- NPI 1255354288
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620777600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620777600000",
"number": "1235713579",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "221 WEST ST APT 12",
"city": "LEOMINSTER",
"state": "MA",
"postal_code": "014536336",
"telephone_number": "978-855-9636"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "931 BOSTON RD",
"city": "HAVERHILL",
"state": "MA",
"postal_code": "018356927",
"telephone_number": "978-241-9177"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "AUDRA",
"middle_name": "LISA",
"credential": "MOT, OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-05-12",
"last_updated": "2021-05-12",
"certification_date": "2021-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MA",
"license": "13275",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Haverhill, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.