Harrison Physical Therapy

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

HARRISON PHYSICAL THERAPY

Practice address

3455 Johnson Ferry Rd NE
Roswell, GA 30075-5206

Phone

(678) 472-6707

Fax

(678) 623-9781

NPI assigned

Sep 21, 2021

Organization subpart

No

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

Authorized official

Name

Victoria Shepherd

Title

Coordinator

Phone

(314) 315-5148

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1632182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632182400000",
    "number": "1558032540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3455 JOHNSON FERRY RD NE",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300755206",
            "telephone_number": "678-472-6707",
            "fax_number": "678-623-9781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3455 JOHNSON FERRY RD NE",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300755206",
            "telephone_number": "678-472-6707",
            "fax_number": "678-623-9781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARRISON PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-21",
        "last_updated": "2021-09-21",
        "certification_date": "2021-09-21",
        "status": "A",
        "authorized_official_last_name": "SHEPHERD",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_title_or_position": "COORDINATOR",
        "authorized_official_telephone_number": "314-315-5148"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carlyn N Harris, PT DPT
• Ian Harris, PA
• Julia Harris, M.S., LAPC
• Leonie V Harris, PHD, NMD, ND
• Patricia Harris, B.S.,MBA, CACII
• Dawnella Grace Harrison, PHYSICAL THERAPIST
• Sabrina Davina Harrison, M.D.
• Andrew Clayton Hart, P.T., D.P.T., A.T.C.
• Cynthia Marie Hartley, OT
• Robert L Harvell, LPC

• All providers in Roswell, GA
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2021; 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.