Andy Harrison

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

26124 Issued in FL

Practice address

8692 Jamestown Dr
Winter Haven, FL 33884-4837

Phone

(559) 977-2356

NPI assigned

Sep 21, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network
• Optimum HealthCare HMO Network

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.

• Florida Luna Care Physical Therapy LLC

  • Physical Therapist
  • Jacksonville, FL
  • NPI 1114542032
  Medicare reassignment NPD

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

{
    "created_epoch": "1316563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316563200000",
    "number": "1730462276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8692 JAMESTOWN DR",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338844837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8692 JAMESTOWN DR",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338844837",
            "telephone_number": "559-977-2356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRISON",
        "first_name": "ANDY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-09-21",
        "last_updated": "2011-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "26124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Harmony on Earth, LLC
• Kayla Lynn Harper, LMHC
• Kelly Gayle Harrington, MSPC, LMHC
• Alex David Harris II
• Vertina Harris
• Tristan Monroe Harrison, MD
• Emily Ebner Hart, PT, DPT
• Ruth Cooke Hart, LCSW,MFT,CAP
• Tashia Hart
• Brian Gardiner Harte, MSN, FNP-BC, CCRN

• Physical Therapist in Winter Haven, FL
• Providers in Winter Haven, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2011; 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.