Donald Wayne Harris

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

1999136795 Issued in MO

Practice address

201 N Forest Ave
Independence, MO 64050-2696

Phone

(815) 521-5300

NPI assigned

Aug 21, 2024

Last updated

Aug 21, 2024By the provider in NPPES

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

State licenses

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

{
    "created_epoch": "1724198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724198400000",
    "number": "1306679832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 NW TIMBERLINE DR",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "640156417",
            "telephone_number": "816-678-6449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 N FOREST AVE",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640502696",
            "telephone_number": "815-521-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "DONALD",
        "middle_name": "WAYNE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-08-21",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MO",
            "license": "1999136795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rita Michelle Harman, BC.HIS
• Sydnie C Harmon, LMSW
• Rachel R Haroldsen, PLPC
• Jason Harper, O.D.
• Carol A. Harrington, ARNP
• Katelyn Harris
• Kelly Harris
• Kimberly Harris, MSN, FNP
• Weldon Harris, M.D.
• Shannon Harrison, M.S., CCC-SLP

• Physical Therapy Assistant in Independence, MO
• Providers in Independence, MO by specialty
• Physical Therapy Assistant in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2024; 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.