Individual provider Active NPI

Destiney Rae Harris, MOT

  • Occupational Therapist
  • Evansville, IN
National Provider Identifier
1356808190
Registry record updated Feb 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Practice address
5625 Pearl Dr Ste 100
Evansville, IN 47712-8106
Phone
(812) 759-7493
Fax
(812) 401-2346
NPI assigned
Feb 28, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X Primary

Addresses

Primary practice location

5625 Pearl Dr Ste 100
Evansville, IN 47712-8106

Mailing address

PO Box 5629
Evansville, IN 47716-5629
Phone (812) 759-7475

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190311002408 IN Practitioner - Occupational Therapist in Private Practice 0840539789 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
66.6 of 100Reported as group
Quality
60.71
Promoting interoperability
33
Improvement activities
40
Cost
83.78

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Prorehab Inc Occupational Therapist CurrentSince Feb 28, 2019 Accepting new patients
Prorehab Inc Occupational Therapist CurrentSince Feb 28, 2019 Accepting new patients
Tri-State Orthopaedic Surgeons, Inc. Occupational Therapist CurrentSince Feb 28, 2019 Accepting new patients
Tri-State Orthopaedic Surgeons, Inc. CurrentSince Feb 28, 2019 Accepting new patients
Tri-State Orthopaedic Surgeons, Inc. Current Accepting new patients

Locations

3070 Warrick Dr
Boonville, IN 47601
Phone (812) 431-0517

225 Crosslake Dr
Evansville, IN 47715
Phone (812) 471-6677

5625 Pearl Dr
Ste 101
Evansville, IN 47712
Phone (812) 474-3800

4659 N 1st Ave
Evansville, IN 47710
Phone (812) 759-3001

415 Crosslake Dr
Ste B
Evansville, IN 47715
Phone (812) 476-0764

5625 Pearl Dr
Ste 100
Evansville, IN 47712
Phone (812) 759-7493

7300 E Indiana St
Ste 102
Evansville, IN 47715
Phone (812) 759-7451

75 Industrial Park Rd
Ste D
Ferdinand, IN 47532
Phone (502) 882-9379

10294 S 150 E
Haubstadt, IN 47639
Phone (812) 768-5207

8887 High Pointe Dr
Ste E
Newburgh, IN 47630
Phone (812) 759-7464

826 N State Road 161
Ste B
Rockport, IN 47635
Phone (812) 627-7007

2121 Willow St
Vincennes, IN 47591
Phone (812) 882-1141

702 Barret Blvd
#B
Henderson, KY 42420
Phone (270) 631-4100

1075 N Main St
Madisonville, KY 42431
Phone (270) 643-5787

Interoperability endpoints

  • Direct secure messaging: referral5@prorehab-west.direct.kno2fy.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1551312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551312000000",
    "number": "1356808190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5629",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477165629",
            "telephone_number": "812-759-7475",
            "fax_number": "812-401-3259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5625 PEARL DR STE 100",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477128106",
            "telephone_number": "812-759-7493",
            "fax_number": "812-401-2346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "DESTINEY",
        "middle_name": "RAE",
        "credential": "MOT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-28",
        "last_updated": "2019-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evansville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2019; 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.