Individual provider Active NPI

Kaylyn Harris, PT, DPT

  • Physical Therapist
  • Albany, CA
National Provider Identifier
1417829037
Registry record updated Sep 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
308718 Issued in CA
Practice address
400 Evelyn Ave Ste 218
Albany, CA 94706-1375
Phone
(341) 946-9764
Fax
(341) 946-9720
NPI assigned
Sep 22, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2025

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 308718 CA Primary

Addresses

Primary practice location

400 Evelyn Ave Ste 218
Albany, CA 94706-1375

Mailing address

400 Evelyn Ave Ste 218
Albany, CA 94706-1375
Phone (341) 946-9764

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260225003769 CA Practitioner - Physical Therapist in Private Practice 2860973070 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physical Therapy Plus, IncGroup PAC ID 8123485539, 2 clinicians

Practice addresses (Care Compare)

400 Evelyn Ave
Suite 218
Albany, CA 94706-1375
Phone (925) 300-7076

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
308718CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Therapy Plus, Inc Physical Therapist CurrentSince Jan 1, 2026 Accepting new patients

Locations

400 Evelyn Ave
Ste 218
Albany, CA 94706
Phone (341) 946-9764

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.

NPI Registry JSON

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

{
    "created_epoch": "1758499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758499200000",
    "number": "1417829037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 EVELYN AVE STE 218",
            "city": "ALBANY",
            "state": "CA",
            "postal_code": "947061375",
            "telephone_number": "341-946-9764",
            "fax_number": "341-946-9720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 EVELYN AVE STE 218",
            "city": "ALBANY",
            "state": "CA",
            "postal_code": "947061375",
            "telephone_number": "341-946-9764",
            "fax_number": "341-946-9720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "KAYLYN",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-22",
        "last_updated": "2025-09-22",
        "certification_date": "2025-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "308718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.