Individual provider Active NPI

Shari Lou Harris, R.P.T.

  • Physical Therapist
  • Edgar Springs, MO
National Provider Identifier
1467507533
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
02095 Issued in MO
Practice address
28500 County Road 6210
Edgar Springs, MO 65462
Phone
(573) 435-9361
Fax
(573) 435-9361
NPI assigned
Jan 25, 2007
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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 02095 MO Primary

Addresses

Primary practice location

28500 County Road 6210
Edgar Springs, MO 65462

Mailing address

PO Box 355
28500 County Road 6210
Edgar Springs, MO 65462-0355
Phone (573) 435-9361

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
02095MOMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1467507533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 355",
            "address_2": "28500 COUNTY ROAD 6210",
            "city": "EDGAR SPRINGS",
            "state": "MO",
            "postal_code": "654620355",
            "telephone_number": "573-435-9361",
            "fax_number": "573-435-9361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28500 COUNTY ROAD 6210",
            "city": "EDGAR SPRINGS",
            "state": "MO",
            "postal_code": "65462",
            "telephone_number": "573-435-9361",
            "fax_number": "573-435-9361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "SHARI",
        "middle_name": "LOU",
        "name_prefix": "Ms.",
        "credential": "R.P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-25",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "02095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edgar Springs, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.