Active NPI
Donald Harrison, DPT
- Physical Therapist
- North Little Rock, AR
National Provider Identifier
1508449745
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 4839
- Practice address
- 505 W Pershing Blvd
North Little Rock, AR 72114-2147 - Phone
- (501) 812-4970
- Fax
- (501) 812-4972
- NPI assigned
- May 5, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 4839 | AR | Primary |
Addresses
Primary practice location
505 W Pershing Blvd
North Little Rock, AR 72114-2147
Mailing address
505 W Pershing Blvd
North Little Rock, AR 72114-2147
Phone (501) 812-4970
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4839 | AR | MD | Physical Therapist |
Organizations & group practices 1
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.
-
- Specialist
- N Little Rock, AR
- NPI 1811944614
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620172800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620172800000",
"number": "1508449745",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "505 W PERSHING BLVD",
"city": "NORTH LITTLE ROCK",
"state": "AR",
"postal_code": "721142147",
"telephone_number": "501-812-4970",
"fax_number": "501-812-4972"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "505 W PERSHING BLVD",
"city": "NORTH LITTLE ROCK",
"state": "AR",
"postal_code": "721142147",
"telephone_number": "501-812-4970",
"fax_number": "501-812-4972"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRISON",
"first_name": "DONALD",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-05-05",
"last_updated": "2021-05-05",
"certification_date": "2021-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AR",
"license": "4839",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Little Rock, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.