Marcy Gwendell Harris

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

308 16TH St W
Palmetto, FL 34221-3926

Phone

(941) 545-6823

NPI assigned

Oct 25, 2021

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Marcy Gwendell Porter Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• PT Family Services LLC

  • In Home Supportive Care Agency
  • Palmetto, FL
  • NPI 1942872536

  Single Specialty

  NPD Authorized official

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

{
    "created_epoch": "1635120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635120000000",
    "number": "1245994490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 352",
            "city": "ELLENTON",
            "state": "FL",
            "postal_code": "342220352",
            "telephone_number": "941-545-6823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 16TH ST W",
            "city": "PALMETTO",
            "state": "FL",
            "postal_code": "342213926",
            "telephone_number": "941-545-6823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "MARCY",
        "middle_name": "GWENDELL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-25",
        "last_updated": "2021-10-25",
        "certification_date": "2021-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVER LICENSE",
            "identifier": "H620547697940",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARCY",
            "last_name": "PORTER",
            "middle_name": "GWENDELL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Happy Day Non Medical Transportation
• Harmony at Homecare LLC
• Rachael A Harnish, DC
• Nichole Marie Harold, PT
• Robert John Harold, PT
• Eugene P Harvey, RPH
• Hawkins Pediatric Therapy LLC
• Aubrey Hawkins
• Tara Hawkins, RPT
• Keturah Hayes

• Behavior Technician in Palmetto, FL
• Providers in Palmetto, FL by specialty
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 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.

Verify at the official NPI Registry.