Jason Lee Harris, P.T., D.P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

05658 Issued in OR

Practice address

623 E 2ND St
The Dalles, OR 97058-2415

Phone

(541) 980-5729

NPI assigned

Jul 12, 2006

Last updated

Jun 21, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Harris Physical Therapy - Sport & Spine Specialists, Inc

  • Physical Therapy Clinic/Center
  • The Dalles, OR
  • NPI 1255694501
  NPD Authorized official
• Excel Rehabilitation Inc

  dba Excel Physical Therapy

  • Physical Therapist
  • Omaha, NE
  • NPI 1306805981
  NPD (past)

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340236800000",
    "number": "1649295619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "623 E 2ND ST",
            "city": "THE DALLES",
            "state": "OR",
            "postal_code": "970582415",
            "telephone_number": "541-980-5729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "623 E 2ND ST",
            "city": "THE DALLES",
            "state": "OR",
            "postal_code": "970582415",
            "telephone_number": "541-980-5729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "JASON",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "P.T., D.P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2012-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NE",
            "license": "2465",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "05658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keeta Hardy
• Carson N Harper, MD
• Vern Harpole, M.D.
• Harris Physical Therapy - Sport & Spine Specialists, Inc
• Alyssa M Harris
• Jennifer E Harris, OT
• Jenessa Leigh Hartman, O.D.
• Michelle Renne Harvey-Murphy
• Steven Harvey
• Shawna Lee Hasel, N.D.

• Physical Therapist in The Dalles, OR
• Providers in The Dalles, OR by specialty
• Physical Therapist in Oregon

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