Active NPI
Kathleen Alyse Ashley Harper, PT,DPT,PCS
- Pediatric Physical Therapist
- Farmington, NM
National Provider Identifier
1801405907
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- Practice address
- 804 E Navajo St
Farmington, NM 87401-9119 - Phone
- (505) 330-3331
- NPI assigned
- Jul 24, 2020
- 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 | Primary |
Addresses
Primary practice location
804 E Navajo St
Farmington, NM 87401-9119
Mailing address
804 E Navajo St
Farmington, NM 87401-9119
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adaptive Therapies LLC | Pediatrics | Current | Accepting new patients |
Locations
804 E Navajo St
Farmington, NM 87401
Phone (505) 327-5336
Organizations & group practices 1
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": "1595548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620950400000",
"number": "1801405907",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "804 E NAVAJO ST",
"city": "FARMINGTON",
"state": "NM",
"postal_code": "874019119"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "804 E NAVAJO ST",
"city": "FARMINGTON",
"state": "NM",
"postal_code": "874019119",
"telephone_number": "505-330-3331"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARPER",
"first_name": "KATHLEEN",
"middle_name": "ALYSE ASHLEY",
"credential": "PT,DPT,PCS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-07-24",
"last_updated": "2021-05-14",
"certification_date": "2021-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Farmington, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 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.