Gary Samuel Harris, PT, OCS

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA00312500 Issued in NJ

Practice address

773 E Route 70
Ste E110
Marlton, NJ 08053-2371

Phone

(856) 282-0339

Fax

(856) 334-8654

NPI assigned

Nov 10, 2006

Sex

Male

Sole proprietor

Yes

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

Enrolled in NJ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Strive Physical Therapy Specialists LLCGroup PAC ID 6709292535, 163 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Strive Physical Therapy Specialists LLC

  • Physical Therapy Clinic/Center
  • Moorestown, NJ
  • NPI 1023609955

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Strive Physical Therapy Specialists LLC

  • Durable Medical Equipment & Medical Supplies
  • Moorestown, NJ
  • NPI 1417745563
  NPD
• Orthopedic and Sports Physical Therapy Services, Inc.

  • Physical Therapist
  • Bensalem, PA
  • NPI 1487604658
  NPD (past)
• Orthopedic and Sports Physical Therapy Services, Inc.

  • Physical Therapist
  • Philadelphia, PA
  • NPI 1588661235
  NPD (past)
• Strive Physical Therapy Specialists LLC

  • Physical Therapy Clinic/Center
  • Philadelphia, PA
  • NPI 1659962587

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1163116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472515200000",
    "number": "1326119652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4175 VETERANS MEMORIAL HWY",
            "address_2": "STE 202",
            "city": "RONKONKOMA",
            "state": "NY",
            "postal_code": "117797639",
            "telephone_number": "856-797-6778",
            "fax_number": "856-797-8011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "773 E ROUTE 70",
            "address_2": "STE E110",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080532371",
            "telephone_number": "856-282-0339",
            "fax_number": "856-334-8654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "GARY",
        "middle_name": "SAMUEL",
        "name_prefix": "Mr.",
        "credential": "PT, OCS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-10",
        "last_updated": "2016-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00312500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina Hansen, M.A., CCC-SLP
• Christine Hertha Harasink, OTR/L
• Margaret S Harbison, MD
• Ryan R Harkins, PTA
• Michael Francis Harrer, M.D.
• Libra Harris
• Terrie Duda Harris, C.A. MSTOM
• Quenise N. Harrison, LCSW
• Harry Grossman MD PA
• Harry Grossman, MD

• Physical Therapist in Marlton, NJ
• Providers in Marlton, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.