John Alfred Harris, P.T., A.T.C.
Individual provider Active NPI Physical Therapist · Jonesborough, TN
NPI 1730196148 · NPPES record last updated Jul 23, 2014
Key facts
- NPI
- 1730196148
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 1421 (TN)
- Practice address
- 900 E Jackson Blvd
Ste 4
Jonesborough, TN 37659-1505 - Phone
- (423) 218-1751
- Fax
- (423) 218-1752
- NPI assigned
- Aug 1, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1421 | TN | Yes |
Addresses
Primary practice location
900 E Jackson Blvd
Ste 4
Jonesborough, TN 37659-1505
Mailing address
8823 Production LN
Ooltewah, TN 37363-6511
Phone (423) 238-8907
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0446557 | Medicaid | TN | |
| 3127120 | Other | TN | BC/BS OF TN |
Other providers in Jonesborough, TN
- Donna L Greenlee
- Karen Sue Gregg
- Casey Gregory
- Jennifer Nicole Hammitt
- Brittany Sue Harbit
- Isabelle Harvey
- Kristi Rachelle Hatley
- John Michael Haws
- Kacey Jo Henley
- Tracy Hennage
All providers in Jonesborough, TN · Physical Therapist in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 23, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.