Individual provider Active NPI

Michelle M Harmon, DPT

  • Physical Therapist
  • Venice, FL
National Provider Identifier
1467684381
Registry record updated May 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT24823 Issued in FL
Practice address
400 Tamiami TRL S
210
Venice, FL 34285-2614
Phone
(941) 483-3400
Fax
(941) 483-3422
NPI assigned
Aug 11, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2014

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 PT24823 FL Primary

Addresses

Primary practice location

400 Tamiami TRL S
210
Venice, FL 34285-2614

Mailing address

4457 Diamond Cir S
Sarasota, FL 34233-2065
Phone (832) 443-5260

Other identifiers 1

IdentifierTypeStateIssuer
PT24823OtherFLPT LICENSE

Other names 1

  • Miss Michelle M Williams Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091022000199 FL Practitioner - Physical Therapist in Private Practice 8527105634 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Restore Medical Partners PLLCGroup PAC ID 1951682426, 14 clinicians

Practice addresses (Care Compare)

333 Tamiami TRL S
Venice, FL 34285-2402

333 Tamiami TRL S
Suite 101
Venice, FL 34285-2425
Phone (941) 375-3006

Merit-based Incentive Payment System (MIPS)

Final score
48.82 of 100Reported as group
Quality
0
Promoting interoperability
100
Improvement activities
0
Cost
75.32

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Restore Medical Partners, PLLC CurrentSince Nov 16, 2020 Accepting new patients
Restore Medical Partners, PLLC CurrentSince Nov 16, 2020 Accepting new patients

Locations

333 Tamiami Trl S
Ste 101
Venice, FL 34285
Phone (941) 375-3006

333 Tamiami Trl S
Ste 169171
Venice, FL 34285
Phone (941) 375-3006

333 Tamiami Trl S
Ste 183
Venice, FL 34285
Phone (941) 220-5075

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: michelle.harmon.1@13915.direct.athenahealth.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1249948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399939200000",
    "number": "1467684381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4457 DIAMOND CIR S",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342332065",
            "telephone_number": "832-443-5260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 TAMIAMI TRL S",
            "address_2": "210",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342852614",
            "telephone_number": "941-483-3400",
            "fax_number": "941-483-3422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARMON",
        "first_name": "MICHELLE",
        "middle_name": "M",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-11",
        "last_updated": "2014-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT24823",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT LICENSE",
            "identifier": "PT24823",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "WILLIAMS",
            "middle_name": "M",
            "prefix": "MISS",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Venice, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2014; 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.