Individual provider Active NPI

Michael Harris, PT, DPT

  • Physical Therapist
  • Harrogate, TN
National Provider Identifier
1811503287
Registry record updated May 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
13206 Issued in TN
Practice address
362 Catalpa Ave
Harrogate, TN 37752-8149
Phone
(423) 869-9923
NPI assigned
Sep 21, 2020
Last updated
May 16, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2023

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 13206 TN Primary

Addresses

Primary practice location

362 Catalpa Ave
Harrogate, TN 37752-8149

Mailing address

362 Catalpa Ave
Harrogate, TN 37752-8149
Phone (423) 869-9923

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, KY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20201104002805 TN Practitioner - Physical Therapist in Private Practice 1254741176 Reassigns benefits to 1 organization
I20260529000283 KY Practitioner - Physical Therapist in Private Practice 1254741176 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elevation Therapy LLCGroup PAC ID 2062832629, 12 clinicians

Practice addresses (Care Compare)

1510 Cumberland Ave
Middlesboro, KY 40965-1223
Phone (606) 302-5474

430 S Broad St
New Tazewell, TN 37825-7239
Phone (423) 441-8848

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Performance Physical Therapy LLC CurrentSince Oct 25, 2021 Accepting new patients
Elevation Therapy, LLC Physical Therapist CurrentSince Sep 27, 2024 Accepting new patients

Locations

1510 Cumberland Ave
Middlesboro, KY 40965
Phone (606) 302-5474

116 N Pine St
Pineville, KY 40977
Phone (606) 337-6548

362 Catalpa Ave
Harrogate, TN 37752
Phone (423) 869-9923

430 S Broad St
New Tazewell, TN 37825
Phone (423) 441-8848

Organizations & group practices 2

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": "1600646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684195200000",
    "number": "1811503287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "362 CATALPA AVE",
            "city": "HARROGATE",
            "state": "TN",
            "postal_code": "377528149",
            "telephone_number": "423-869-9923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "362 CATALPA AVE",
            "city": "HARROGATE",
            "state": "TN",
            "postal_code": "377528149",
            "telephone_number": "423-869-9923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "MICHAEL",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-09-21",
        "last_updated": "2023-05-16",
        "certification_date": "2023-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "13206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrogate, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2023; 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.