Active NPI
Lee Ann Harris, PT
- Physical Therapist
- Prattville, AL
National Provider Identifier
1396309480
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PTH1005
- Practice address
- 1300 E Main St Ste a
Prattville, AL 36066-5528 - Phone
- (334) 568-2121
- NPI assigned
- Apr 24, 2019
- Last updated
- Oct 28, 2020
- Sex
- Female
- 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 | PTH1005 | AL | Primary |
Addresses
Primary practice location
1300 E Main St Ste a
Prattville, AL 36066-5528
Mailing address
240 Dogwood Ridge Dr
Wetumpka, AL 36093-1928
Phone (334) 478-3113
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTH1005 | AL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| River Region Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
Locations
1300 E Main St
Ste A
Prattville, AL 36066
Phone (334) 568-2121
266 Interstate Commercial Park Loop
Prattville, AL 36066
Phone (334) 568-2121
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapy Clinic/Center
- Prattville, AL
- NPI 1174012421
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1556064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603843200000",
"number": "1396309480",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "240 DOGWOOD RIDGE DR",
"city": "WETUMPKA",
"state": "AL",
"postal_code": "360931928",
"telephone_number": "334-478-3113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 E MAIN ST STE A",
"city": "PRATTVILLE",
"state": "AL",
"postal_code": "360665528",
"telephone_number": "334-568-2121"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "LEE",
"middle_name": "ANN",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-24",
"last_updated": "2020-10-28",
"certification_date": "2020-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AL",
"license": "PTH1005",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Prattville, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.