Individual provider Active NPI

Carolyn Lynch Harriss, PT

  • Physical Therapist
  • Newton, NC
National Provider Identifier
1841613023
Registry record updated Jan 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P14365 Issued in NC
Practice address
825 W 25TH St
Newton, NC 28658-2852
Phone
(828) 485-4594
Fax
(828) 330-2093
NPI assigned
Jan 24, 2014
Last updated
Jan 26, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 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 P14365 NC Primary

Addresses

Primary practice location

825 W 25TH St
Newton, NC 28658-2852

Mailing address

738 Newman Rd
New Bern, NC 28562-5238
Phone (252) 634-2676

Other practice location 1

738 Newman Rd
New Bern, NC 28562-5238
Phone (252) 634-2676

Other practice location 2

2165 Medical Park Dr
Hickory, NC 28602-8809
Phone (828) 324-2800

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140327000002 NC Practitioner - Physical Therapist in Private Practice 5092946517 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergeortho PAGroup PAC ID 0749188894, 726 clinicians

Practice addresses (Care Compare)

825 W 25TH St
Newton, NC 28658-2852
Phone (828) 485-4594

Merit-based Incentive Payment System (MIPS)

Final score
89.07 of 100Reported as group
Quality
85.94
Promoting interoperability
100
Improvement activities
40
Cost
77.63

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Peak Performance Sports and Physical Therapy, LLC Physical Therapist CurrentSince Jan 13, 2020 Accepting new patients
Emergeortho PA Physical Therapist CurrentSince Dec 1, 2020 Accepting new patients
Emergeortho PA CurrentSince Dec 1, 2020 Accepting new patients

Locations

120 William Penn Plz
Durham, NC 27704
Phone (919) 281-1836

1202 E Main St
Havelock, NC 28532
Phone (252) 447-4001

2165 Medical Park Dr
Hickory, NC 28602
Phone (828) 294-7793

915 Tate Blvd SE
Ste 190
Hickory, NC 28602

3714 Guardian Ave
Ste E
Morehead City, NC 28557
Phone (252) 222-5862

534 N 35th St
Ste A
Morehead City, NC 28557
Phone (252) 726-1166

825 W 25th St
Newton, NC 28658
Phone (828) 459-6824

Interoperability endpoints

  • Direct secure messaging: carolyn.harriss.1@847.direct.athenahealth.com

Organizations & group practices 3

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": "1390521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674691200000",
    "number": "1841613023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "738 NEWMAN RD",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285625238",
            "telephone_number": "252-634-2676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 W 25TH ST",
            "city": "NEWTON",
            "state": "NC",
            "postal_code": "286582852",
            "telephone_number": "828-485-4594",
            "fax_number": "828-330-2093"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "738 Newman Rd",
            "address_purpose": "LOCATION",
            "city": "New Bern",
            "state": "NC",
            "postal_code": "285625238",
            "country_code": "US",
            "telephone_number": "252-634-2676",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2165 Medical Park Dr",
            "address_purpose": "LOCATION",
            "city": "Hickory",
            "state": "NC",
            "postal_code": "286028809",
            "country_code": "US",
            "telephone_number": "828-324-2800",
            "fax_number": "828-330-2060",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRISS",
        "first_name": "CAROLYN",
        "middle_name": "LYNCH",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-24",
        "last_updated": "2023-01-26",
        "certification_date": "2023-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P14365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 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.