Douglas K Harris, M.S., P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT-2024-0319 Issued in NM

Practice address

803 Hacienda LN
Bloomfield, NM 87413-5109

Phone

(505) 632-1823

NPI assigned

Mar 16, 2007

Last updated

Jan 14, 2025By 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 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Associates in Physical Therapy, PLLC

  • Physical Therapist
  • East Wenatchee, WA
  • NPI 1114012028
  NPD

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736812800000",
    "number": "1366566507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1170 PITCHER CANYON ROAD",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "98801",
            "telephone_number": "509-663-6254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "803 HACIENDA LN",
            "city": "BLOOMFIELD",
            "state": "NM",
            "postal_code": "874135109",
            "telephone_number": "505-632-1823"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "230 Grant Road, Suite B27",
            "address_purpose": "LOCATION",
            "city": "East Wenatchee",
            "state": "WA",
            "postal_code": "98802",
            "country_code": "US",
            "telephone_number": "509-884-1437",
            "fax_number": "509-884-2811",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "DOUGLAS",
        "middle_name": "K",
        "credential": "M.S., P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-16",
        "last_updated": "2025-01-14",
        "certification_date": "2025-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00003821",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NM",
            "license": "PT-2024-0319",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7052665",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James B Guynn, CFNP
• William R Hall, OD
• Lisa Hamilton, RN
• Bryan Wayne Harber, D.D.S.
• Cheryl Hare, LPN
• Kathleen Henderson, LBSW
• Christina L Herbig, RN
• Connie Hernandez
• Roy Hernandez
• Ariel Rose Howard, LBSW

• Physical Therapist in Bloomfield, NM
• Providers in Bloomfield, NM by specialty
• Physical Therapist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2025; 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.