Individual provider Active NPI

Sheila Hulburt Harris, OTR/L

  • Occupational Therapist
  • Memphis, TN
National Provider Identifier
1629589577
Registry record updated Oct 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT0000003903 Issued in TN
Practice address
6605 N Quail Hollow Rd
Memphis, TN 38120-1323
Phone
(901) 753-0586
NPI assigned
Oct 18, 2017
Last updated
Oct 18, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT0000003903 TN Primary

Addresses

Primary practice location

6605 N Quail Hollow Rd
Memphis, TN 38120-1323

Mailing address

8757 Cumbernauld Cir N
Germantown, TN 38139-5305
Phone (901) 289-4577

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211129002027 TN Practitioner - Occupational Therapist in Private Practice 5294125621 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aegis Group Practice LLCGroup PAC ID 5193036432, 399 clinicians

Practice addresses (Care Compare)

6300 Briarcrest Ave
Memphis, TN 38120-4085
Phone (901) 883-0223

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OT0000003903TNMDOccupational Therapist
3903TNMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Aegis Group Practice LLC Occupational Therapist Current Accepting new patients
Healthpro Heritage Rehab & Fitness, LLC Occupational Therapist CurrentSince Dec 1, 2021 Accepting new patients
Aegis Group Practice LLC Occupational Therapist CurrentSince Oct 2, 2023 Accepting new patients
Ave Maria Home CurrentSince Oct 25, 2021 Accepting new patients
Healthpro Heritage Rehab & Fitness, LLC Occupational Therapist CurrentSince Dec 1, 2021 Accepting new patients
Aegis Group Practice LLC Occupational Therapist CurrentSince Oct 2, 2023 Accepting new patients

Locations

4933 Old Greenwood Rd
Fort Smith, AR 72903

2805 Charles Bryan Rd
Bartlett, TN 38134
Phone (901) 386-3211

3345 Kirby Whitten Rd
Bartlett, TN 38134
Phone (901) 245-4395

960 S Seivers Blvd
Clinton, TN 37716
Phone (865) 270-3178

6300 Briarcrest Ave
Memphis, TN 38120
Phone (901) 386-3211

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1508284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508284800000",
    "number": "1629589577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8757 CUMBERNAULD CIR N",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381395305",
            "telephone_number": "901-289-4577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6605 N QUAIL HOLLOW RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381201323",
            "telephone_number": "901-753-0586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "SHEILA",
        "middle_name": "HULBURT",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-18",
        "last_updated": "2017-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TN",
            "license": "OT0000003903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2017; 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.