Individual provider Active NPI

Robert Harris, DPT

  • Physical Therapist
  • Miami, FL
National Provider Identifier
1659916864
Registry record updated Nov 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT35250 Issued in FL
Practice address
2631 SW 27TH St
Miami, FL 33133-2239
Phone
(305) 396-9002
Fax
(305) 390-3003
NPI assigned
Nov 12, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 12, 2019

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 PT35250 FL Primary

Addresses

Primary practice location

2631 SW 27TH St
Miami, FL 33133-2239

Mailing address

4640 SW 43Rd Ave
Fort Lauderdale, FL 33314-4723

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250509002129 WA Practitioner - Physical Therapist in Private Practice 2466877436 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT35250FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Stanwood-Camano Physical Therapy, PLLC Physical Therapist CurrentSince Feb 1, 2025 Accepting new patients
Optimal Human Movement CurrentSince May 3, 2020 Accepting new patients
Physiotherapy Assoicates, Inc. PastSince Feb 1, 2025 Accepting new patients

Locations

2631 SW 27th St
Miami, FL 33133
Phone (305) 396-9002

9612 270th St NW
Ste D100
Stanwood, WA 98292

9612 270th St NW
Ste 103
Stanwood, WA 98292
Phone (360) 629-8043

Organizations & group practices 3

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": "1573516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573516800000",
    "number": "1659916864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4640 SW 43RD AVE",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333144723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2631 SW 27TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331332239",
            "telephone_number": "305-396-9002",
            "fax_number": "305-390-3003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-11-12",
        "last_updated": "2019-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT35250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.