Gina Maria Harrison, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

6323 Issued in MA

Practice address

62 Market St
Lynn, MA 01901-1005

Phone

(339) 883-1209

NPI assigned

Feb 1, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Miss Gina Maria Dimeo Former name

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": "1548979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548979200000",
    "number": "1780149914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 DEER HAVEN RD",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019151486",
            "telephone_number": "781-254-4431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "62 MARKET ST",
            "city": "LYNN",
            "state": "MA",
            "postal_code": "019011005",
            "telephone_number": "339-883-1209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRISON",
        "first_name": "GINA",
        "middle_name": "MARIA",
        "name_prefix": "Mrs.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-01",
        "last_updated": "2019-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MA",
            "license": "6323",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MA BOARD OF LICENSURE",
            "identifier": "6323",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GINA",
            "last_name": "DIMEO",
            "middle_name": "MARIA",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Cheryl Ann Hardnett
• Allison Hare, RN
• Lauren Nicole Harless
• Brian Patrick Harold, OTR/L
• Artia L Harris
• Hart Counseling and Consulting, LLC
• Carol Marie Hart, C.O.T.A/L
• Gina Hart, LCSW, LADC1
• Kayla Hartney
• Emma Hartswick Finch, MD MPP

• Physical Therapy Assistant in Lynn, MA
• Providers in Lynn, MA by specialty
• Physical Therapy Assistant in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2019; 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.