Jason Harris, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PTH3696 Issued in AL

Practice address

1615 Windsor Hill CT
Montgomery, AL 36106-0168

Phone

(334) 361-4711

Fax

(334) 361-8219

NPI assigned

Jun 15, 2006

Last updated

Oct 2, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Aldridge Physical Therapy, LLCGroup PAC ID 2466542923, 22 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Aldridge Physical Therapy, LLC

  • Physical Therapist
  • Alexander City, AL
  • NPI 1760673586
  Medicare reassignment Care Compare group NPD
• Rehab Associates, LLC

  dba Champion Sports Medicine

  • Physical Therapy Clinic/Center
  • Jasper, AL
  • NPI 1033886486

  Physical Therapist

  NPD (past)
• Rehab Associates, LLC

  dba Rehab Associates - Prattville

  • Physical Therapy Clinic/Center
  • Prattville, AL
  • NPI 1306855895
  NPD (past)

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727827200000",
    "number": "1518901909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 392573",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152519573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1615 WINDSOR HILL CT",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361060168",
            "telephone_number": "334-361-4711",
            "fax_number": "334-361-8219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "JASON",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2024-10-02",
        "certification_date": "2024-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH3696",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890012410",
            "state": "AL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1066.1",
            "affiliationName": "eSolutions Inc",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CSV",
            "address_1": "8215 W 108th Ter",
            "city": "Overland Park",
            "state": "KS",
            "country_code": "US",
            "postal_code": "662101661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Christi Azar Harris, CRNP
• Dakota Kanae Tahisa Harris, M.ED, BCBA, LBA
• Forrest Hunter Harris, DMD
• Forrest Scott Harris, M.D. 1965
• Frank M Harris, D.C.
• John Andrew Harris, DMD
• Leslie Harris Jr., MD
• Lynn Harris, EDS, LPC
• Memendra Page Harris, M.ED, LPC, NCC, MAC
• Olivia Harris

• Physical Therapist in Montgomery, AL
• Providers in Montgomery, AL by specialty
• Physical Therapist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2024; 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.