Active NPI
Caroline Jones Harris, DPT
- Physical Therapist
- Eden, NC
National Provider Identifier
1437804895
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- P21081
- Practice address
- 405 Boone Rd
Eden, NC 27288-4967 - Phone
- (336) 908-6015
- NPI assigned
- Feb 15, 2022
- Last updated
- Jul 31, 2023
- 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 | P21081 | NC | Primary |
Addresses
Primary practice location
405 Boone Rd
Eden, NC 27288-4967
Mailing address
1496 Garrett Rd
Eden, NC 27288-7751
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
723 S Van Buren Rd
Suite C
Eden, NC 27288-5321
Phone (336) 627-7398
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Protherapy Concepts, Inc. | Physical Therapist | Current | Accepting new patients |
| John R. Dabbs Jr. DC PC | Past | Accepting new patients |
Locations
405 Boone Rd
Eden, NC 27288
Phone (336) 627-7398
723 S Van Buren Rd
Ste C
Eden, NC 27288
Phone (336) 627-7398
Organizations & group practices 2
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.
-
dba Eden Chiropractic
- Preferred Provider Organization
- Eden, NC
- NPI 1265630891
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1644883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690761600000",
"number": "1437804895",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1496 GARRETT RD",
"city": "EDEN",
"state": "NC",
"postal_code": "272887751"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "405 BOONE RD",
"city": "EDEN",
"state": "NC",
"postal_code": "272884967",
"telephone_number": "336-908-6015"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "CAROLINE",
"middle_name": "JONES",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-02-15",
"last_updated": "2023-07-31",
"certification_date": "2023-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "P21081",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Eden, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2023; 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.