Active NPI
Michele Zink Harris, PT
- Pediatric Physical Therapist
- Austin, TX
National Provider Identifier
1790812295
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- 1061752
- Practice address
- 7307 Creekbluff Dr
Austin, TX 78750-8203 - Phone
- (512) 614-3300
- Fax
- (512) 614-3301
- NPI assigned
- Feb 28, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | 1061752 | TX | Primary |
Addresses
Primary practice location
7307 Creekbluff Dr
Austin, TX 78750-8203
Mailing address
12708 Riata Vista Cir
Suite A126
Austin, TX 78727-7167
Phone (512) 637-2002
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1061752 | TX | MD | Pediatric Physical Therapist |
Interoperability endpoints
- michele.harris.1@7984.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1493251200000",
"number": "1790812295",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12708 RIATA VISTA CIR",
"address_2": "SUITE A126",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787277167",
"telephone_number": "512-637-2002",
"fax_number": "512-637-2007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7307 CREEKBLUFF DR",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787508203",
"telephone_number": "512-614-3300",
"fax_number": "512-614-3301"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "MICHELE",
"middle_name": "ZINK",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-28",
"last_updated": "2017-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "TX",
"license": "1061752",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.