Kelsey Ann Harris, PT, DPT, RPSFC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT026453 Issued in PA

Practice address

1159 Bayberry Dr
Canonsburg, PA 15317-4992

Phone

(724) 705-4311

NPI assigned

Jan 16, 2020

Sex

Female

Sole proprietor

No

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

Enrolled in PA, WV2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Neuroaxis Rehabilitation ServicesGroup PAC ID 7012300387, 24 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Neuroaxis Rehabilitation Services

  • Professional Counselor
  • Canonsburg, PA
  • NPI 1316887920
  Medicare reassignment Care Compare group NPD Authorized official
• Neuroaxis Rehabilitation Services

  • Physical Therapy Clinic/Center
  • Canonsburg, PA
  • NPI 1063172807
  Medicare reassignment Authorized official
• Wonsettler Physical Therapy and Specialized Health

  dba n/a

  • Physical Therapy Clinic/Center
  • Scenery Hill, PA
  • NPI 1629564471
  Medicare reassignment NPD

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

{
    "created_epoch": "1579132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641686400000",
    "number": "1659901858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1159 BAYBERRY DR",
            "city": "CANONSBURG",
            "state": "PA",
            "postal_code": "153174992",
            "telephone_number": "724-705-4311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1159 BAYBERRY DR",
            "city": "CANONSBURG",
            "state": "PA",
            "postal_code": "153174992",
            "telephone_number": "724-705-4311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "KELSEY",
        "middle_name": "ANN",
        "credential": "PT, DPT, RPSFC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-16",
        "last_updated": "2022-01-09",
        "certification_date": "2022-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT026453",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "DAPT004604",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• H12Eleven LLC (FirstLight Home Care South Hills)
• Amore Titiana Hall-Reed
• William Hall, PA-C
• Melissa Hancock
• Katie Renee Haney, M.S., CCC-SLP
• Healing Hearts Counseling Services LLC
• Ann Marie A Hefferan
• Emily S. Heim, MA, MSW, LPC, LCSW
• Julie Hellman, OT
• Rachel C Henney, MA, CCC-SLP

• Physical Therapist in Canonsburg, PA
• Providers in Canonsburg, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2022; 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.