Active NPI
Charles Wood Harris, PT
- Physical Therapist
- Gardnerville, NV
National Provider Identifier
1699052050
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1548
- Practice address
- 880 Canyon Creek LN
Gardnerville, NV 89460-6426 - Phone
- (775) 265-4818
- Fax
- (775) 265-4818
- NPI assigned
- Nov 12, 2011
- Last updated
- Nov 12, 2011
- Sex
- Male
- Sole proprietor
- Yes
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 | 1548 | NV | Primary |
Addresses
Primary practice location
880 Canyon Creek LN
Gardnerville, NV 89460-6426
Mailing address
880 Canyon Creek LN
Gardnerville, NV 89460-6426
Phone (775) 265-4818
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1548 | NV | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| High Desert Therapists, Inc | Physical Therapist | Past | Accepting new patients |
| High Desert Therapists, Inc | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1321056000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1321056000000",
"number": "1699052050",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "880 CANYON CREEK LN",
"city": "GARDNERVILLE",
"state": "NV",
"postal_code": "894606426",
"telephone_number": "775-265-4818",
"fax_number": "775-265-4818"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "880 CANYON CREEK LN",
"city": "GARDNERVILLE",
"state": "NV",
"postal_code": "894606426",
"telephone_number": "775-265-4818",
"fax_number": "775-265-4818"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "CHARLES",
"middle_name": "WOOD",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-11-12",
"last_updated": "2011-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NV",
"license": "1548",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gardnerville, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.