Individual provider Active NPI

Ezekiel Lee Harris

  • Physical Therapist
  • Millington, TN
National Provider Identifier
1801443734
Registry record updated Aug 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
12439 Issued in TN
Practice address
8510 Wilkinsville Rd Ste 101
Millington, TN 38053-1537
Phone
(901) 873-3780
NPI assigned
Aug 26, 2019
Last updated
Aug 26, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2019

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 12439 TN Primary

Addresses

Primary practice location

8510 Wilkinsville Rd Ste 101
Millington, TN 38053-1537

Mailing address

3731 Parkline Dr Apt 308
Memphis, TN 38125-4051
Phone (870) 404-3942

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220904000057 TN Practitioner - Physical Therapist in Private Practice 4688058902 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physiotherapy Associates IncGroup PAC ID 3577470442, 1,432 clinicians

Practice addresses (Care Compare)

2013 Exeter Rd
Suite 10
Germantown, TN 38138-3946
Phone (901) 737-4035

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12439TNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Physiotherapy Associates Inc Physical Therapist CurrentSince Apr 7, 2025 Accepting new patients
Select Physical Therapy Holdings Inc CurrentSince Jun 12, 2022 Accepting new patients
Select Physical Therapy Holdings Inc Physical Therapist CurrentSince Jun 12, 2022 Accepting new patients
Physiotherapy Associates Inc CurrentSince Apr 7, 2025 Accepting new patients
Physiotherapy Associates Inc PastSince Sep 1, 2019 Accepting new patients
Physiotherapy Associates Inc Past Accepting new patients

Locations

8059 Stage Hills Blvd
Ste 104
Bartlett, TN 38133
Phone (901) 383-4515

9040 Carothers Pkwy
Ste A205
Franklin, TN 37067
Phone (615) 224-9590

8510 Wilkinsville Rd
Ste 101
Millington, TN 38053
Phone (605) 877-9618

1501 12th Ave S
Nashville, TN 37203
Phone (615) 269-3461

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1566777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566777600000",
    "number": "1801443734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3731 PARKLINE DR APT 308",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381254051",
            "telephone_number": "870-404-3942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8510 WILKINSVILLE RD STE 101",
            "city": "MILLINGTON",
            "state": "TN",
            "postal_code": "380531537",
            "telephone_number": "901-873-3780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "EZEKIEL",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-26",
        "last_updated": "2019-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "12439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Millington, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.