Active NPI
Deborah Jean Harriott, PTA
- Physical Therapy Assistant
- Largo, FL
National Provider Identifier
1700910924
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- PTA 531
- Practice address
- 2104 E Bay Dr
Largo, FL 33771-2323 - Phone
- (727) 587-0582
- Fax
- (727) 587-0583
- NPI assigned
- Mar 16, 2007
- Sex
- Female
- 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 Therapy Assistant | 225200000X | PTA 531 | FL | Primary |
Addresses
Primary practice location
2104 E Bay Dr
Largo, FL 33771-2323
Mailing address
8212 131St Way
Seminole, FL 33776-3115
Phone (727) 399-8578
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 |
|---|---|---|---|
| PTA 531 | FL | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cora Health Services, Inc | Past | Accepting new patients | |
| Cora Health Services, Inc | Past | Accepting new patients |
Networks
- Optimum HealthCare HMO Network
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.
-
- Rehabilitation Clinic/Center
- Winter Garden, FL
- NPI 1104786805
-
- Athletic Trainer
- Lake Placid, FL
- NPI 1831234350
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1700910924",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8212 131ST WAY",
"city": "SEMINOLE",
"state": "FL",
"postal_code": "337763115",
"telephone_number": "727-399-8578"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2104 E BAY DR",
"city": "LARGO",
"state": "FL",
"postal_code": "337712323",
"telephone_number": "727-587-0582",
"fax_number": "727-587-0583"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIOTT",
"first_name": "DEBORAH",
"middle_name": "JEAN",
"name_prefix": "Mrs.",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "FL",
"license": "PTA 531",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Largo, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.