Active NPI
Dillon C Harris, DPT
- Physical Therapist
- Glendale, AZ
National Provider Identifier
1689054835
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 11591
- Practice address
- 6320A W Union Hills Dr
Suite 265
Glendale, AZ 85308-7177 - Phone
- (623) 374-2424
- Fax
- (623) 374-2619
- NPI assigned
- Jun 3, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 11591 | AZ | Primary |
Addresses
Primary practice location
6320A W Union Hills Dr
Suite 265
Glendale, AZ 85308-7177
Mailing address
6320A W Union Hills Dr
Suite 265
Glendale, AZ 85308-7177
Phone (623) 374-2424
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| BHSM Rehabilitation, LLC | Past | Accepting new patients | |
| BHSM Rehabilitation, LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Physical Therapy Clinic/Center
- Bullhead City, AZ
- NPI 1093681033
-
- Physical Therapy Clinic/Center
- Payson, AZ
- NPI 1497222632
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433289600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1433289600000",
"number": "1689054835",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6320A W UNION HILLS DR",
"address_2": "SUITE 265",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853087177",
"telephone_number": "623-374-2424",
"fax_number": "623-374-2619"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6320A W UNION HILLS DR",
"address_2": "SUITE 265",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853087177",
"telephone_number": "623-374-2424",
"fax_number": "623-374-2619"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "DILLON",
"middle_name": "C",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-06-03",
"last_updated": "2015-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "11591",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glendale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.