Gavin Christopher James Harrell, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

306667 Issued in CA

Practice address

85 Hartnell Ave
Redding, CA 96002-1887

Phone

(530) 226-9242

NPI assigned

Aug 20, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

University of Texas Medical School at San Antonio, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Burch Physical Therapy, Inc.Group PAC ID 2961438569, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Burch Physical Therapy, Inc.

  dba Burch Physical Therapy

  • Physical Therapist
  • Redding, CA
  • NPI 1447215116
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1724112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724112000000",
    "number": "1841022530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19404 HOLLOW LN",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960039527",
            "telephone_number": "530-737-7148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 HARTNELL AVE",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960021887",
            "telephone_number": "530-226-9242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRELL",
        "first_name": "GAVIN",
        "middle_name": "CHRISTOPHER JAMES",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-08-20",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "306667",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPY BOARD OF CALIFORNIA",
            "identifier": "306667",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Caitrin Jeannette Harder, RN
• Daniel Hardy Jr.
• James Charles Hardy, M.D.
• Robin Lynn Harper, R.N.M.F.T.
• Connie L Harrah, RN
• Darrell V. Harris, M.D.
• Lisa Harris
• Lorie Harris
• Stacy L Harris, MFT
• Theresa L Harris, LCSW

• Physical Therapist in Redding, CA
• Providers in Redding, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2024; 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.