Thomas Charles Harris, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

61006958

Practice address

10903 Gravelly Lake Dr SW
Lakewood, WA 98499-1341

Phone

(253) 583-5170

NPI assigned

Nov 16, 2022

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1668556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668556800000",
    "number": "1245949403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "326 154TH ST E",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984451100",
            "telephone_number": "253-312-6478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10903 GRAVELLY LAKE DR SW",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984991341",
            "telephone_number": "253-583-5170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "THOMAS",
        "middle_name": "CHARLES",
        "name_prefix": "Mr.",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-11-16",
        "last_updated": "2022-11-16",
        "certification_date": "2022-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": null,
            "license": "61006958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tayauna Hargrove
• Emily Marie Harried
• Jesse Harris
• Nina Marie Harris
• Renita Harris
• Tina Michelle Harris, REGISTERED COUNSELOR
• Lorie Harrison
• Lynn Sherrill Harrison, M.A.
• Addie E Hart
• Janelle Hart

• Occupational Therapy Assistant in Lakewood, WA
• Providers in Lakewood, WA by specialty
• Occupational Therapy Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2022; 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.