Individual provider Active NPI

Sydni Harris

  • Physical Therapist
  • Parker, CO
National Provider Identifier
1780351015
Registry record updated Sep 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTL.0017946 Issued in CO
Practice address
10345 Parkglenn Way Ste 220
Parker, CO 80138-3869
Phone
(303) 840-9202
NPI assigned
Aug 25, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PTL.0017946 CO Primary

Addresses

Primary practice location

10345 Parkglenn Way Ste 220
Parker, CO 80138-3869

Mailing address

7343 W Grant Ranch Blvd Apt 113
Littleton, CO 80123-2649

Other practice location 1

10450 Park Meadows Dr Ste 103
Lone Tree, CO 80124-5528
Phone (303) 790-7877

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL Sharris@phx-pt.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211028000045 CO Practitioner - Physical Therapist in Private Practice 9739577537 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PTL.0017946COMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Colorado Athletic Conditioning Clinic Lowry Professional LLC Physical Therapist CurrentSince Sep 15, 2021 Accepting new patients
Colorado Athletic Conditioning Clinic Lowry Professional LLC Physical Therapist CurrentSince Sep 7, 2021 Accepting new patients
Colorado Athletic Conditioning Clinic Lowry Professional LLC Current Accepting new patients
Colorado Athletic Conditioning Clinic Lowry Professional LLC Physical Therapist CurrentSince Sep 7, 2021 Accepting new patients
Colorado Athletic Conditioning Clinic Lowry Professional LLC Physical Therapist Past Accepting new patients

Locations

5570 Powers Center Pt
Colorado Springs, CO 80920
Phone (719) 266-6022

200 Quebec St
Bldg 600
Denver, CO 80230
Phone (303) 341-0369

10450 Park Meadows Dr
Ste 103
Lone Tree, CO 80124
Phone (303) 754-5222

10345 Parkglenn Way
Ste 220
Parker, CO 80138
Phone (303) 840-9202

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1629849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632355200000",
    "number": "1780351015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7343 W GRANT RANCH BLVD APT 113",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801232649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10345 PARKGLENN WAY STE 220",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801383869",
            "telephone_number": "303-840-9202"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10450 Park Meadows Dr Ste 103",
            "address_purpose": "LOCATION",
            "city": "Lone Tree",
            "state": "CO",
            "postal_code": "801245528",
            "country_code": "US",
            "telephone_number": "303-790-7877",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "SYDNI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-25",
        "last_updated": "2021-09-23",
        "certification_date": "2021-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL.0017946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Sharris@phx-pt.com",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "10345 Parkglenn Way Ste 220",
            "city": "Parker",
            "state": "CO",
            "country_code": "US",
            "postal_code": "801383869",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Parker, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2021; 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.