Shawn Alvacus Harris, PT

Primary specialty

Geriatric Physical TherapistTaxonomy code 2251G0304X

License

PT 20550 Issued in FL

Practice address

7810 Lewis Rd
Lakeland, FL 33810-2140

Phone

(863) 859-2711

Fax

(863) 859-2711

NPI assigned

Jan 12, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1263254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264550400000",
    "number": "1487984506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7810 LEWIS RD",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338102140",
            "telephone_number": "863-859-2711",
            "fax_number": "863-859-2711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7810 LEWIS RD",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338102140",
            "telephone_number": "863-859-2711",
            "fax_number": "863-859-2711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "SHAWN",
        "middle_name": "ALVACUS",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-01-12",
        "last_updated": "2010-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "FL",
            "license": "PT 20550",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT 20550",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jalynn Harris, RBT
• Justin Michael Harris, DC
• Katherine Harris
• Monica Leticia Harris, PT, MS
• Robin Harris, APN
• Shontell Lavora Harris
• Teresa Ann Harris, LMHC PSY.D.
• Erin R. Harrison, MA, CCC-SLP
• Jayla Patricia Harrison
• Kaelyn Callahan Harrison, MSN, APRN, FNP-C

• Geriatric Physical Therapist in Lakeland, FL
• Providers in Lakeland, FL by specialty
• Geriatric Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2010; 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.