Mobile Therapy, Inc

Primary specialty

Geriatric Physical TherapistTaxonomy code 2251G0304X

Legal business name

MOBILE THERAPY, INC

Practice address

5126 31St Ave S
Gulfport, FL 33707-5622

Phone

(727) 350-1012

Fax

(727) 350-1012

NPI assigned

Sep 8, 2005

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Kristen M. Harris, PT, GCSNPI 1164416004

Title

Owner

Phone

(336) 613-4111

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kristen M. Harris, PT, GCS

  • Geriatric Physical Therapist
  • Gulfport, FL
  • NPI 1164416004
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1126137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454803200000",
    "number": "1720072580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 531078",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337471078",
            "telephone_number": "727-350-1012",
            "fax_number": "727-350-1012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5126 31ST AVE S",
            "city": "GULFPORT",
            "state": "FL",
            "postal_code": "337075622",
            "telephone_number": "727-350-1012",
            "fax_number": "727-350-1012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE THERAPY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-08",
        "last_updated": "2016-02-07",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-613-4111",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PT, GCS"
    },
    "taxonomies": [
        {
            "code": "2251G0304X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Geriatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kendall McCardell
• Rachael Meir, PSYD
• David Ricardo Mendoza, D.M.D.
• Michael S Werner
• Michaelswernerdpmpa
• Nancy Moncada, PT
• Leo A Montambeault Jr., PHARM D
• Meghan Moyer
• Amanda Muni-Morgan, PHD
• New Vision Behavioral Health Inc

• Geriatric Physical Therapist in Gulfport, FL
• Providers in Gulfport, FL by specialty
• Geriatric Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.