NPIMap

Individual provider Active NPI

Donald Richard Harris, PT, DPT

  • Physical Therapist
  • Mason, OH
National Provider Identifier
1689894552
Registry record updated Dec 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT.002551 Issued in OH
Practice address
7567 Central Parke Blvd
(Central Office That I Work Out of)
Mason, OH 45040
Phone
(513) 701-6101
Fax
(513) 672-2635
NPI assigned
Apr 26, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2014

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 PT.002551 OH Primary

Addresses

Primary practice location

7567 Central Parke Blvd
(Central Office That I Work Out of)
Mason, OH 45040

Mailing address

7567 Central Parke Blvd
Mason, OH 45040
Phone (513) 701-6101

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

State licenses

LicenseStateTypeSpecialty
PT.002551OHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Workers Choice Health Services Physical Therapist Past Accepting new patients
Oxford Physical Therapy and Rehabilitation Physical Therapist 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.

NPI Registry JSON

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419897600000",
    "number": "1689894552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7567 CENTRAL PARKE BLVD",
            "city": "MASON",
            "state": "OH",
            "postal_code": "45040",
            "telephone_number": "513-701-6101",
            "fax_number": "513-672-2635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7567 CENTRAL PARKE BLVD",
            "address_2": "(CENTRAL OFFICE THAT I WORK OUT OF)",
            "city": "MASON",
            "state": "OH",
            "postal_code": "45040",
            "telephone_number": "513-701-6101",
            "fax_number": "513-672-2635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "DONALD",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-26",
        "last_updated": "2014-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT.002551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mason, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2014; 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.