Kevin M Harris

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

3127426 Issued in TX

Practice address

2535 Ira E Woods Ave
Grapevine, TX 76051-3930

Phone

(915) 479-2007

NPI assigned

Jun 28, 2021

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

Enrolled in TX

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2021

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kevin.harris.1@20300.direct.athenahealth.com
• Direct secure messaging: kevin.harris.2@15749.direct.athenahealth.com

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.

• Orthotx, PLLC

  dba Arlington Orthopedic Associates, PLLC

  • Orthopaedic Surgery Physician
  • Arlington, TX
  • NPI 1336134469
  Medicare reassignment NPD
• Orthotx, PLLC

  dba North Texas Orthopedics & Spine Center

  • Durable Medical Equipment & Medical Supplies
  • Fort Worth, TX
  • NPI 1831919679
  NPD
• Healthtexas Provider Network

  • Durable Medical Equipment & Medical Supplies
  • Grapevine, TX
  • NPI 1265368773
  NPD (past)
• Nto Physician Partners, PLLC

  dba North Texas Orthopedics and Sports Medicine

  • Orthopaedic Surgery Physician
  • Grapevine, TX
  • NPI 1306914312
  NPD (past)

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

{
    "created_epoch": "1624838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624838400000",
    "number": "1568032969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7113 EDINBURG DR",
            "city": "NORTH RICHLAND HILLS",
            "state": "TX",
            "postal_code": "761824416",
            "telephone_number": "915-479-2007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2535 IRA E WOODS AVE",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760513930",
            "telephone_number": "915-479-2007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "M HARRIS",
        "first_name": "KEVIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-28",
        "last_updated": "2021-06-28",
        "certification_date": "2021-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "3127426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Bernard Luczak, DDS, MPH
• Lullabies Teentalk and Adult Psychiatric Wellness Center LLC (LTA Psychiatric Wellness Center LLC)
• Phuongdung Luong, PHARMD
• Luxottica of America Inc (Oakley B070)
• Alison Lynch, PA-C
• M. W. C. LLC (Wellness First)
• M.B.S Whole Health
• M.E.R. Counseling & Assessments, PLLC
• Cynthia A Mace-Motta, D.O
• Subhashini Macha

• Physical Therapist in Grapevine, TX
• Providers in Grapevine, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2021; 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.