Jimmy Wayne Harris Jr., P. T.

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

03204 Issued in LA

Practice address

2204 Benton Rd
Bossier City, LA 71111-3404

Phone

(318) 747-2200

Fax

(318) 747-2255

NPI assigned

Oct 20, 2006

Last updated

Mar 5, 2012By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• River City Physical Therapy, Inc.

  • Physical Therapy Clinic/Center
  • Bossier City, LA
  • NPI 1306931282
  Authorized official Same address or phone

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330905600000",
    "number": "1558443226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2204 BENTON RD",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711113404",
            "telephone_number": "318-747-2200",
            "fax_number": "318-747-2255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2204 BENTON RD",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711113404",
            "telephone_number": "318-747-2200",
            "fax_number": "318-747-2255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "JIMMY",
        "middle_name": "WAYNE",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "P. T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-20",
        "last_updated": "2012-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "LA",
            "license": "03204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dakota Ryan Harrell
• Whitney G Harrell, ,PT, DPT
• Basil Scott Harrington, MD
• Dennis Harris Jr.
• Gaysha Brielle Harris
• Karasha Harris
• Roderick Lavelle Harris Jr.
• Sarah M Harris, MS, PLPC
• Takori Harris
• Taquela Harris

• Orthopedic Physical Therapist in Bossier City, LA
• Providers in Bossier City, LA by specialty
• Orthopedic Physical Therapist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2012; 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.