Joel Harris, MS, ATC, LAT

Primary specialty

Sports Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081S0010X

License

AL4767 Issued in FL

Practice address

11500 Fenway South Dr
Fort Myers, FL 33913-8671

Phone

(213) 395-8896

NPI assigned

Feb 21, 2021

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1613865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613865600000",
    "number": "1841884814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12020 ROCK BROOK RUN APT 1804",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339136811",
            "telephone_number": "802-299-6326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11500 FENWAY SOUTH DR",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339138671",
            "telephone_number": "213-395-8896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "JOEL",
        "credential": "MS, ATC, LAT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-02-21",
        "last_updated": "2021-02-21",
        "certification_date": "2021-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "FL",
            "license": "AL4767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "harris9jh@gmail.com",
            "affiliation": "N",
            "address_1": "11500 Fenway South Dr",
            "city": "Fort Myers",
            "state": "FL",
            "country_code": "US",
            "postal_code": "339138671",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Benjamin Ryan Harris
• Brian A Harris, MD
• David S Harris, M.D.
• Donald T Harris, MD
• George F Harris IV, M.D.
• Keith A Harris, MD
• Kelly Uyen Harris, DMD, MS
• Kristin Dawn Harris
• Meredith Wheeler Harris, LCSW
• Ryan Aubrey Harris, DMD

• Sports Medicine (Physical Medicine & Rehabilitation) Physician in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Sports Medicine (Physical Medicine & Rehabilitation) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.