Individual provider Active NPI

Lance Harriman

  • Physical Therapist
  • San Francisco, CA
National Provider Identifier
1609925155
Registry record updated Jan 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 25798 Issued in CA
Practice address
550 15TH St
Suite 36a
San Francisco, CA 94103-5029
Phone
(415) 701-1000
Fax
(415) 701-1009
NPI assigned
Jan 10, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT 25798 CA Primary

Addresses

Primary practice location

550 15TH St
Suite 36a
San Francisco, CA 94103-5029

Mailing address

2215 25TH Ave
San Francisco, CA 94116-1749
Phone (415) 701-1000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120522001054 CA Practitioner - Physical Therapist in Private Practice 5395904072 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Inner Bar IncGroup PAC ID 2163451634, 12 clinicians

Practice addresses (Care Compare)

550 15TH St
Suite 36a
San Francisco, CA 94103-5032
Phone (415) 682-9902

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
25798CAMDChiropractor
PT 25798CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Inner Bar, Inc. Physical Therapist CurrentSince Feb 1, 2003 Accepting new patients

Locations

3401 Taraval St
San Francisco, CA 94116
Phone (415) 682-9902

550 15th St
Ste 36A
San Francisco, CA 94103
Phone (415) 682-9902

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.

NPI Registry JSON

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673568000000",
    "number": "1609925155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2215 25TH AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941161749",
            "telephone_number": "415-701-1000",
            "fax_number": "415-701-1009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 15TH ST",
            "address_2": "SUITE 36A",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941035029",
            "telephone_number": "415-701-1000",
            "fax_number": "415-701-1009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIMAN",
        "first_name": "LANCE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-10",
        "last_updated": "2023-01-13",
        "certification_date": "2023-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT 25798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2023; 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.