NPIMap

Organization Active NPI

Tina Harris Physical Therapy, P.a.

  • Physical Therapist
  • Colby, KS
National Provider Identifier
1295850873
Registry record updated Jan 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1102054 Issued in KS
Legal business name
TINA HARRIS PHYSICAL THERAPY, P.A.
Practice address
270 N Franklin Ave
Colby, KS 67701-2322
Phone
(785) 462-8008
Fax
(785) 460-8080
NPI assigned
Mar 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2014

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

Authorized official

Name
Tina M Harris, P.T.NPI 1851332316
Title
Administrator
Phone
(785) 462-8008

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X 11-2054 KS
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X 1102054 KS Primary

Addresses

Primary practice location

270 N Franklin Ave
Colby, KS 67701-2322

Mailing address

270 N Franklin Ave
Colby, KS 67701-2322
Phone (785) 462-8008

Other identifiers 3

IdentifierTypeStateIssuer
059714OtherBLUE CROSS BLUE SHIELD
650005073OtherKSRAILROAD MEDICARE
100319310AMedicaidKS

Other names 1

  • Tina Harris Physical Therapy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Outpatient physical therapy / speech pathology certification: CCN 176557

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
TINA HARRIS PHYSICAL THERAPY
Certification status
Active
Provider type (POS)
Outpatient physical therapy / speech pathology
Participating since
May 27, 1998
Last certification
Oct 29, 2013
Ownership / control type
Proprietary
Facility address
270 N Franklin Ave
Colby, KS 67701

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390262400000",
    "number": "1295850873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 N FRANKLIN AVE",
            "city": "COLBY",
            "state": "KS",
            "postal_code": "677012322",
            "telephone_number": "785-462-8008",
            "fax_number": "785-460-8080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 N FRANKLIN AVE",
            "city": "COLBY",
            "state": "KS",
            "postal_code": "677012322",
            "telephone_number": "785-462-8008",
            "fax_number": "785-460-8080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TINA HARRIS PHYSICAL THERAPY, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2014-01-21",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "TINA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "785-462-8008",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "11-2054",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "1102054",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "059714",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "650005073",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100319310A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tina Harris Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Colby, KS

Sources for this page

Verify at the official NPI Registry.