Active NPI
Eric Harnden, DPT
- Physical Therapist
- Anaheim, CA
National Provider Identifier
1366832776
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT 42144
- Practice address
- 505 N Euclid St
#680
Anaheim, CA 92801-5506 - Phone
- (714) 780-0010
- Fax
- (714) 780-0050
- NPI assigned
- Jan 23, 2015
- Sex
- Male
- 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 | PT 42144 | CA | Primary |
Addresses
Primary practice location
505 N Euclid St
#680
Anaheim, CA 92801-5506
Mailing address
200 Newport Center Dr
#213
Newport Beach, CA 92660-7501
Phone (949) 644-1322
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CB229825 | Other | CA | MEDICARE PTAN |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 42144 | CA | MD | Pharmacist |
| PT 42144 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1421971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1433462400000",
"number": "1366832776",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 NEWPORT CENTER DR",
"address_2": "#213",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926607501",
"telephone_number": "949-644-1322",
"fax_number": "949-644-0316"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "505 N EUCLID ST",
"address_2": "#680",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928015506",
"telephone_number": "714-780-0010",
"fax_number": "714-780-0050"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARNDEN",
"first_name": "ERIC",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-01-23",
"last_updated": "2015-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT 42144",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "CB229825",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Anaheim, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.