Harly Sides

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT026049 Issued in PA

Practice address

Harly Sides
630 Meadow Lane
Harleysville, PA 19438

Phone

(570) 647-7762

Fax

(215) 798-7969

NPI assigned

Aug 30, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Harly Sides Professional name

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Move More LLCGroup PAC ID 7012327083, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Move More LLC

  • Physical Therapy Clinic/Center
  • Harleysville, PA
  • NPI 1043827835
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1535587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600905600000",
    "number": "1447732052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 MEADOW LN",
            "city": "HARLEYSVILLE",
            "state": "PA",
            "postal_code": "194381639",
            "telephone_number": "570-647-7762",
            "fax_number": "215-798-7969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HARLY SIDES",
            "address_2": "630 MEADOW LANE",
            "city": "HARLEYSVILLE",
            "state": "PA",
            "postal_code": "19438",
            "telephone_number": "570-647-7762",
            "fax_number": "215-798-7969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDES",
        "first_name": "HARLY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-30",
        "last_updated": "2020-09-24",
        "certification_date": "2020-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT026049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HARLY",
            "last_name": "SIDES",
            "credential": "DPT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Senior Physical Therapy Services LLC
• Maitri Divyangkumar Shah, DMD, MHA, BDS
• Grace Sherer, OTR/L
• Steven Sherer, MSPT
• Jamie Shipon, LPC
• Laura E Simonelli, PHD
• Smile Studio of Harleysville
• Deirdre Smith, R.PH.
• Jacqueline Smythe
• Alyssa Sowhangar

• Physical Therapist in Harleysville, PA
• Providers in Harleysville, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2020; 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.