Matthew B Harris

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

160.007033 Issued in IL

Practice address

2451 W Touhy Ave
Chicago, IL 60645-3309

Phone

(773) 338-6800

NPI assigned

Jun 7, 2022

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1654560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654560000000",
    "number": "1770212540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1511 W BRYN MAWR AVE APT 2F",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606604273",
            "telephone_number": "170-884-6896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2451 W TOUHY AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606453309",
            "telephone_number": "773-338-6800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "MATTHEW",
        "middle_name": "B",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-07",
        "last_updated": "2022-06-07",
        "certification_date": "2022-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "IL",
            "license": "160.007033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lenia Harris
• Leslie Maness Harris, M.D.
• Margaret Ann Harris, CRNA
• Marvin D Harris, MA
• Mary Harris
• Mauriah Harris
• Megan Harris, DNP
• Meghan Marie Harris, APRN
• Michael Kenneth Harris Jr.
• Michel D Harris, R.D., LDN, CDE

• Physical Therapy Assistant in Chicago, IL
• Providers in Chicago, IL by specialty
• Physical Therapy Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2022; 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.