Brian Mark Harrison, MS, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

5201008337 Issued in MI

Practice address

4280 Cascade Rd SE
Grand Rapids, MI 49546-8301

Phone

(616) 942-5570

Fax

(616) 942-5695

NPI assigned

Jul 21, 2014

Last updated

Jul 21, 2014By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Advisacare Healthcare Solutions, Inc.

  • Home Health Agency
  • Troy, MI
  • NPI 1093083057
  NPD (past)
• Advisacare Healthcare Solutions, Inc.

  • Home Health Agency
  • Grand Rapids, MI
  • NPI 1790053767
  NPD (past)
• Kent County CMH Authority

  dba Network 180

  • Community/Behavioral Health Agency
  • Grand Rapids, MI
  • NPI 1194617811
  NPD (past)

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

{
    "created_epoch": "1405900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405900800000",
    "number": "1497162614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "O-208 HERON DR NW APT 306",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495341081",
            "telephone_number": "616-799-2468",
            "fax_number": "616-942-5695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4280 CASCADE RD SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495468301",
            "telephone_number": "616-942-5570",
            "fax_number": "616-942-5695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRISON",
        "first_name": "BRIAN",
        "middle_name": "MARK",
        "name_prefix": "Mr.",
        "credential": "MS, OTR/L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-07-21",
        "last_updated": "2014-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201008337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen D Harris, D.P.M.
• Steven A Harris
• Teeauna Harris
• Harrison Chiropractic Center PC
• Harrison Eye Center, P.C.
• Charles R Harrison, MD
• Chloe Harrison
• Claire Harrison
• Dana Harrison
• David K Harrison, DC

• Occupational Therapist in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Occupational Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2014; 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.