Daniel Harris, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

P160559983 Issued in WA

Practice address

212 W Birch Ave
Colville, WA 99114-2440

Phone

(509) 684-5621

Fax

(509) 684-7943

NPI assigned

Sep 14, 2018

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Sumner Specialized Physical Therapy, PLLC

  • Physical Therapist
  • Colville, WA
  • NPI 1457878035
  NPD (past)

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

{
    "created_epoch": "1536883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536883200000",
    "number": "1659854644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 W BIRCH AVE",
            "city": "COLVILLE",
            "state": "WA",
            "postal_code": "991142440",
            "telephone_number": "509-684-5621",
            "fax_number": "509-684-7943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 W BIRCH AVE",
            "city": "COLVILLE",
            "state": "WA",
            "postal_code": "991142440",
            "telephone_number": "509-684-5621",
            "fax_number": "509-684-7943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "DANIEL",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-09-14",
        "last_updated": "2018-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WA",
            "license": "P160559983",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2091008",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joni Marie Hanson
• Happy Camper Counseling
• Hardwick Family Dentistry
• Christine Harper, PHARMD
• Jonathan Wilson Harper, O.D.
• Erica J Harris
• Rebecca G Harris
• Hadassah Harshbarger
• J'Rel Trent Harshbarger
• Tracie L Harsin, RC

• Physical Therapy Assistant in Colville, WA
• Providers in Colville, WA by specialty
• Physical Therapy Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2018; 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.