Organization Active NPI

Harris and Deflora Rehabilitation Inc

  • Physical Therapist
  • Baltimore, MD
National Provider Identifier
1750379905
Registry record updated Sep 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11350 Issued in MD
Legal business name
HARRIS AND DEFLORA REHABILITATION INC
Practice address
8202 Pulaski Hwy
Baltimore, MD 21237-2825
Phone
(410) 391-4300
Fax
(410) 391-4453
NPI assigned
Oct 12, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2010

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

Authorized official

Name
Mrs. Grace G Harris, PT
Title
Physical Therapist
Phone
(410) 391-4300

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 11350 MD Primary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 10800 MD

Addresses

Primary practice location

8202 Pulaski Hwy
Baltimore, MD 21237-2825

Mailing address

8202 Pulaski Hwy
Baltimore, MD 21237-2825
Phone (410) 391-4300

Other identifiers 3

IdentifierTypeStateIssuer
228588600MedicaidMD
K098OtherMDBCBS
K076OtherWABCBS

National Provider Directory

National Provider Directory

Locations

8202 Pulaski Hwy
Baltimore, MD 21237
Phone (410) 391-4300

NPI Registry JSON

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

{
    "created_epoch": "1129075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283990400000",
    "number": "1750379905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8202 PULASKI HWY",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212372825",
            "telephone_number": "410-391-4300",
            "fax_number": "410-391-4453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8202 PULASKI HWY",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212372825",
            "telephone_number": "410-391-4300",
            "fax_number": "410-391-4453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARRIS AND DEFLORA REHABILITATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-12",
        "last_updated": "2010-09-09",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "GRACE",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "410-391-4300",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "11350",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "10800",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "228588600",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "K098",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "K076",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.