Gary L Harris, RPT
Individual provider Active NPI Physical Therapy Clinic/Center · Morrilton, AR
NPI 1265589915 · NPPES record last updated Feb 20, 2008
Key facts
- NPI
- 1265589915
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Clinic/Center 261QP2000X
- License
- PT 289 (AR)
- Practice address
- #6 Hospital Drive
Morrilton, AR 72110-4510 - Phone
- (501) 354-0092
- NPI assigned
- Jan 4, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT 289 | AR | MD | Physical Therapy Clinic/Center |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dox Medical Supply | Past |
Accepting new patients | |
| Harris Physical Therapy | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | PT 289 | AR | Yes |
Addresses
Primary practice location
#6 Hospital Drive
Morrilton, AR 72110-4510
Mailing address
#6 Hospital Drive
Morrilton, AR 72110-4510
Other providers in Morrilton, AR
- Latressa Gail Hamilton
- J'Sha Rhea Hankins
- Mandolynn Harper
- Harps Food Stores, Inc
- Harris Physical Therapy
- Melissa Rose Harrison
- Brandy Marie Hartman
- Payton E Hartman
- Raymond P. Hartman
- David Hawkins
All providers in Morrilton, AR · Physical Therapy Clinic/Center in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 20, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.