Active NPI
Chelsea Harris
- Physical Therapist
- Dyersburg, TN
National Provider Identifier
1285081877
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 10856
- Practice address
- 640 US Highway 51 Byp E
Suite a
Dyersburg, TN 38024-2067 - Phone
- (731) 285-5552
- Fax
- (731) 285-5350
- NPI assigned
- May 24, 2016
- 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 | 10856 | TN | Primary |
Addresses
Primary practice location
640 US Highway 51 Byp E
Suite a
Dyersburg, TN 38024-2067
Mailing address
PO Box 681478
Franklin, TN 37068-1478
Phone (615) 591-6590
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160829001032 | TN | Practitioner - Physical Therapist in Private Practice | 1759676810 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464048000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637712000000",
"number": "1285081877",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 681478",
"city": "FRANKLIN",
"state": "TN",
"postal_code": "370681478",
"telephone_number": "615-591-6590",
"fax_number": "615-591-6601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "640 US HIGHWAY 51 BYP E",
"address_2": "SUITE A",
"city": "DYERSBURG",
"state": "TN",
"postal_code": "380242067",
"telephone_number": "731-285-5552",
"fax_number": "731-285-5350"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "CHELSEA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-05-24",
"last_updated": "2021-11-24",
"certification_date": "2021-11-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TN",
"license": "10856",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dyersburg, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.