Active NPI
Peggie Meredith Harris, P.T.
- Physical Therapist
- Selma, OR
National Provider Identifier
1245531664
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 0749
- Practice address
- 18255 Redwood Hwy
Selma, OR 97538 - Phone
- (541) 218-0485
- Fax
- (541) 597-2273
- NPI assigned
- Nov 17, 2010
- Last updated
- Nov 17, 2010
- 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 | 0749 | OR | Primary |
Addresses
Primary practice location
18255 Redwood Hwy
Selma, OR 97538
Mailing address
5050 Lake Shore Dr.
Selma, OR 97538
Phone (541) 218-0485
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0749 | OR | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kay Nielson Pta LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Therapy Clinic/Center
- Selma, OR
- NPI 1386740736
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1289952000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1289952000000",
"number": "1245531664",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5050 LAKE SHORE DR.",
"city": "SELMA",
"state": "OR",
"postal_code": "97538",
"telephone_number": "541-218-0485",
"fax_number": "541-597-2273"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18255 REDWOOD HWY",
"city": "SELMA",
"state": "OR",
"postal_code": "97538",
"telephone_number": "541-218-0485",
"fax_number": "541-597-2273"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "PEGGIE",
"middle_name": "MEREDITH",
"name_prefix": "Mrs.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-11-17",
"last_updated": "2010-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OR",
"license": "0749",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Selma, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.