Individual provider Active NPI

Michelle S Harris, PT

  • Physical Therapist
  • Boulder, CO
National Provider Identifier
1437148343
Registry record updated Oct 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTL0003553 Issued in CO
Practice address
5603 Arapahoe Ave Ste 5
Boulder, CO 80303-1377
Phone
(303) 578-2018
Fax
(303) 578-7231
NPI assigned
Oct 14, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2021

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 PTL0003553 CO Primary

Addresses

Primary practice location

5603 Arapahoe Ave Ste 5
Boulder, CO 80303-1377

Mailing address

181 Berry PL
Erie, CO 80516-6899
Phone (303) 578-2018

Other practice location 1

181 Berry Pl
Erie, CO 80516-6899
Phone (303) 578-2018

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070612000527 CO Practitioner - Physical Therapist in Private Practice 0749388932 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PTL0003553COMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Joint Effort Health LLC Physical Therapist CurrentSince Nov 1, 2021 Accepting new patients
Coal Creek Physical Therapy, LLC Physical Therapist CurrentSince Apr 1, 2022 Accepting new patients
Coal Creek Diagnostics, LLC PastSince Apr 1, 2022 Accepting new patients

Locations

5603 Arapahoe Rd
Ste 5
Boulder, CO 80303
Phone (303) 494-1516

315 W South Boulder Rd
Ste 100
Louisville, CO 80027
Phone (303) 601-6666

Organizations & group practices 3

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": "1129248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634256000000",
    "number": "1437148343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "181 BERRY PL",
            "city": "ERIE",
            "state": "CO",
            "postal_code": "805166899",
            "telephone_number": "303-578-2018",
            "fax_number": "303-578-7231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5603 ARAPAHOE AVE STE 5",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803031377",
            "telephone_number": "303-578-2018",
            "fax_number": "303-578-7231"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "181 Berry Pl",
            "address_purpose": "LOCATION",
            "city": "Erie",
            "state": "CO",
            "postal_code": "805166899",
            "country_code": "US",
            "telephone_number": "303-578-2018",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "MICHELLE",
        "middle_name": "S",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-14",
        "last_updated": "2021-10-15",
        "certification_date": "2021-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL0003553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boulder, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2021; 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.

Verify at the official NPI Registry.