Jeff L Harris, ATC

Primary specialty

Sports Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081S0010X

License

1094 Issued in SC

Practice address

1990 Sandifer Blvd
Seneca, SC 29678-0910

Phone

(864) 886-1319

NPI assigned

Jul 24, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Briotix LP.

  • Prevention Professional
  • Centennial, CO
  • NPI 1447798517
  NPD (past)

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

{
    "created_epoch": "1721779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729209600000",
    "number": "1386472090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9000 E NICHOLS AVE STE 104",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801123429",
            "telephone_number": "844-274-6849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1990 SANDIFER BLVD",
            "city": "SENECA",
            "state": "SC",
            "postal_code": "296780910",
            "telephone_number": "864-886-1319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "JEFF",
        "middle_name": "L",
        "credential": "ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-07-24",
        "last_updated": "2024-10-18",
        "certification_date": "2024-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "SC",
            "license": "1094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kody Vaughn Hanvey, ACNP
• Kimberly A Harbin, RN
• James Hardy, M.D.
• Emily Grace Harper
• Elizabeth Todd Harpster, M.D.
• Shelly Lee Harris, PTA
• Raza Hassan, MD
• Julie Lynn Hauberg, PT
• Christan Lee Hayes
• David E Heape, M.D.

• Sports Medicine (Physical Medicine & Rehabilitation) Physician in Seneca, SC
• Providers in Seneca, SC by specialty
• Sports Medicine (Physical Medicine & Rehabilitation) Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2024; 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.