Active NPI
Robert Harris, PT, DPT
- Physical Therapist
- Alexandria, VA
National Provider Identifier
1386260776
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 27806
- Practice address
- 1920 Ballenger Ave
Alexandria, VA 22314-6818 - Phone
- (443) 254-6528
- NPI assigned
- Jun 22, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 298023 | CA | |
| Physical Therapist | 225100000X | 27806 | MD | Primary |
Addresses
Primary practice location
1920 Ballenger Ave
Alexandria, VA 22314-6818
Mailing address
2011 Dewey Dr
Stafford, VA 22554-2221
Phone (443) 254-6528
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 |
|---|---|---|---|
| 28028 | MD | MD | Social Worker |
| 298023 | CA | MD | Physical Therapist |
| 27806 | MD | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthovirginia, 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.
-
- Multi-Specialty Clinic/Center
- North Chesterfield, VA
- NPI 1265470645
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1592784000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1592784000000",
"number": "1386260776",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2011 DEWEY DR",
"city": "STAFFORD",
"state": "VA",
"postal_code": "225542221",
"telephone_number": "443-254-6528"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1920 BALLENGER AVE",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223146818",
"telephone_number": "443-254-6528"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "ROBERT",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-06-22",
"last_updated": "2020-06-22",
"certification_date": "2020-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "298023",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "27806",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Alexandria, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.