Riley Harris, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

4663 Issued in AR

Practice address

1112 S 48TH St Ste B
Springdale, AR 72762-5886

Phone

(479) 751-3900

Fax

(479) 444-6278

NPI assigned

Aug 9, 2019

Last updated

Nov 16, 2020By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1565308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605484800000",
    "number": "1679128250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 871",
            "city": "TONTITOWN",
            "state": "AR",
            "postal_code": "727700871",
            "telephone_number": "479-444-6277",
            "fax_number": "479-444-6278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1112 S 48TH ST STE B",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727625886",
            "telephone_number": "479-751-3900",
            "fax_number": "479-444-6278"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3061 N Market Ave Ste 4",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "AR",
            "postal_code": "727033561",
            "country_code": "US",
            "telephone_number": "479-444-6277",
            "fax_number": "479-444-6278",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "RILEY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-09",
        "last_updated": "2020-11-16",
        "certification_date": "2020-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AR",
            "license": "4663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Renee Harris, MHPP
• Kyle William Harris, D.D.S.
• Loni Beth Harris, DPT
• Melody Kay Harris, SLP
• Paul L Harris, MD
• Serenity Harris
• Kristina Harrison
• Shelby Lane Harrison, CRNA
• Laramie C Hart
• Wendy Joanne Hart, DNP, AGACNP-BC, APRN

• Physical Therapist in Springdale, AR
• Providers in Springdale, AR by specialty
• Physical Therapist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2020; 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.