Individual provider Active NPI

Nancy L. Harrison, DPT

  • Physical Therapist
  • Sedona, AZ
National Provider Identifier
1407017478
Registry record updated Jun 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
6968 Issued in AZ
Practice address
505 Jacks Canyon Rd
Sedona, AZ 86351-7856
Phone
(928) 284-1000
Fax
(928) 284-2439
NPI assigned
Jun 22, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 6968 AZ Primary

Addresses

Primary practice location

505 Jacks Canyon Rd
Sedona, AZ 86351-7856

Mailing address

505 Jacks Canyon Rd
Sedona, AZ 86351-7856
Phone (928) 284-1000

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6968AZMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1214092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214092800000",
    "number": "1407017478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 JACKS CANYON RD",
            "city": "SEDONA",
            "state": "AZ",
            "postal_code": "863517856",
            "telephone_number": "928-284-1000",
            "fax_number": "928-284-2439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 JACKS CANYON RD",
            "city": "SEDONA",
            "state": "AZ",
            "postal_code": "863517856",
            "telephone_number": "928-284-1000",
            "fax_number": "928-284-2439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRISON",
        "first_name": "NANCY",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-22",
        "last_updated": "2008-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "6968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sedona, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2008; 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.