Active NPI
Betty Elaine Harris, PT
- Physical Therapist
- North Little Rock, AR
National Provider Identifier
1346468063
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 629
- Practice address
- 4216 E McCain Blvd
North Little Rock, AR 72117-2515 - Phone
- (501) 687-0328
- NPI assigned
- Apr 20, 2007
- 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 | 629 | AR | Primary |
Addresses
Primary practice location
4216 E McCain Blvd
North Little Rock, AR 72117-2515
Mailing address
3 Trefny CT
Little Rock, AR 72211-5517
Phone (501) 224-5675
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 629 | AR | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northside Therapy Center Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Therapy Clinic/Center
- North Little Rock, AR
- NPI 1023054145
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1346468063",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 TREFNY CT",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722115517",
"telephone_number": "501-224-5675"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4216 E MCCAIN BLVD",
"city": "NORTH LITTLE ROCK",
"state": "AR",
"postal_code": "721172515",
"telephone_number": "501-687-0328"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "BETTY",
"middle_name": "ELAINE",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AR",
"license": "629",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Little Rock, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.